Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03143 | Date 22/01/2019 |
| Token No | SM/19-20/9233 27/08/2019 | Serial | 041 Last Visit: 21/09/2024 |
| Patient Name | Mr. SK SALIM | Contact No | 9674112007 |
| Address | CHATRA KUMAR PARA, SERAMPORE | Age | 47 Years,8 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||