Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00209 | Date 07/08/2018 |
| Token No | SM/20-21/27915 01/12/2020 | Serial | 017 Last Visit: 29/08/2023 |
| Patient Name | Mr. MD ISSA | Contact No | 9830753770 |
| Address | 33 MUSALMAN PARA ROAD SERAMPORE | Age | 59 Years,7 Months,27 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||