Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07518 | Date 12/02/2020 |
| Token No | SM/19-20/17924 12/02/2020 | Serial | 034 Last Visit: 24/08/2022 |
| Patient Name | Mr. AJAY SHA | Contact No | 6290034088 |
| Address | 4A KUMAR PATTI LANE SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||