Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10701 | Date 21/02/2022 |
| Token No | SM/21-22/10082 21/02/2022 | Serial | 030 Last Visit: 21/02/2022 |
| Patient Name | Mr. SK. SAMSUDDIN | Contact No | 8697024890 |
| Address | 29/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | 163.1 cm BMI: 26.314197 |
| Diagnosis | |||