Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02239 | Date 30/11/2018 |
| Token No | SM/19-20/15294 14/12/2019 | Serial | 059 Last Visit: 24/08/2023 |
| Patient Name | Mr. SK NADEEM AKTAR | Contact No | 6289753144 |
| Address | 5 ARBINDA SARANI CHATRA SERAMPORE | Age | 22 Years,9 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||