Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06389 | Date 12/09/2019 |
| Token No | SM/19-20/10264 12/09/2019 | Serial | 082 Last Visit: 24/03/2022 |
| Patient Name | Mr. SK RAJU | Contact No | 9831323645 |
| Address | 4,MUSHALMAN PARA LANE ,SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||