Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06677 | Date 17/10/2019 |
| Token No | SM/19-20/14605 03/12/2019 | Serial | 088 Last Visit: 07/10/2021 |
| Patient Name | Mr. SK RAJAB ALI | Contact No | 8777417529 |
| Address | 19/C KUMAR PARA LANE SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||