Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07555 | Date 15/02/2020 |
| Token No | SM/19-20/20291 26/03/2020 | Serial | 003 Last Visit: 25/09/2023 |
| Patient Name | Mr. SURESH RAM SINGH | Contact No | 9903135310 |
| Address | 1 MUSALMAN PARA LANE CHATRA SERAMPORE | Age | 35 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||