Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07711 | Date 05/03/2020 |
| Token No | SM/19-20/22974 11/06/2020 | Serial | 024 Last Visit: 28/02/2024 |
| Patient Name | Mr. SEKH ABZEL | Contact No | |
| Address | 7/F ARBINDA SARANI CHATRA SERAMPORE | Age | 74 Years,1 Months,27 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||