Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03209 | Date 29/01/2019 |
| Token No | SM/19-20/4937 20/06/2019 | Serial | 077 Last Visit: 03/12/2024 |
| Patient Name | Mr. MD AYOUB | Contact No | 9088739243 |
| Address | 5/A/1 CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 27 Years,3 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||