Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07163 | Date 16/12/2019 |
| Token No | SM/21-22/10014 19/02/2022 | Serial | 002 Last Visit: 22/08/2022 |
| Patient Name | Mr. SK SAZAHAN | Contact No | 9804970775 |
| Address | 20 KANAI DEWAN TALA LANE SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 156.3 cm BMI: 24.560279 |
| Diagnosis | |||