Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01955 | Date 14/11/2018 |
| Token No | SM/18-19/8670 14/02/2019 | Serial | 035 Last Visit: 10/05/2025 |
| Patient Name | Mr. YUNUS ANSARY | Contact No | 8420943784 |
| Address | 12 GOPINATH SHA STREET SERAMPORE | Age | 44 Years,9 Months,29 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||