Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08486 | Date 06/07/2020 |
| Token No | SM/19-20/23792 06/07/2020 | Serial | 034 Last Visit: 24/09/2025 |
| Patient Name | Mr. SK ABBAS | Contact No | 8697945026 |
| Address | 9/C MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 37 Years,8 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||