Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01178 | Date 15/09/2018 |
| Token No | SM/19-20/2721 14/05/2019 | Serial | 035 Last Visit: 06/01/2022 |
| Patient Name | Mr. SK NASIM | Contact No | 9903609780 |
| Address | 5,ARABINDRA SARANI CHATRA SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||