Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09016 | Date 01/12/2020 |
| Token No | SM/20-21/28416 14/12/2020 | Serial | 070 Last Visit: 04/07/2022 |
| Patient Name | Mr. SAHID ALAM | Contact No | 9681066418 |
| Address | 21 PARSHI LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||