Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02076 | Date 22/11/2018 |
| Token No | SM/18-19/4019 22/11/2018 | Serial | 014 Last Visit: 12/07/2025 |
| Patient Name | Mr. SK ISMAIL | Contact No | 7439842996 |
| Address | 18NO MUSALMAN PARA LANE SERAMPORE | Age | 54 Years,6 Months,9 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||