Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07163 | Date 16/12/2019 |
| Token No | SM/19-20/15397 16/12/2019 | Serial | 061 Last Visit: 22/08/2022 |
| Patient Name | Mr. SK SAZAHAN | Contact No | 9804970775 |
| Address | 20 KANAI DEWAN TALA LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||