Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01017 | Date 10/09/2018 |
| Token No | SM/19-20/14697 05/12/2019 | Serial | 025 Last Visit: 09/08/2021 |
| Patient Name | Mr. SK SAHAJAHAN | Contact No | 9143124320 |
| Address | 7, ARBINDA SARANI, SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||