Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01635 | Date 11/10/2018 |
| Token No | SM/18-19/6341 05/01/2019 | Serial | 056 Last Visit: 30/01/2023 |
| Patient Name | Mr. SK IBRAHIM | Contact No | 9903384994 |
| Address | 10, PARSI LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||