Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02952 | Date 10/01/2019 |
| Token No | SM/18-19/6639 10/01/2019 | Serial | 066 Last Visit: 10/10/2023 |
| Patient Name | Mr. SALAMAT ALI | Contact No | 9007983724 |
| Address | 5 ARABINDA SARANI CHATRA SERAMPORE | Age | 38 Years,9 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||