Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03368 | Date 04/02/2019 |
| Token No | SM/20-21/28696 22/12/2020 | Serial | 043 Last Visit: 06/02/2021 |
| Patient Name | Mr. SERAJUDDIN | Contact No | |
| Address | CHATRA KUMAR PARA , SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||