Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10809 | Date 16/03/2022 |
| Token No | SM/21-22/10814 16/03/2022 | Serial | 002 Last Visit: 16/03/2022 |
| Patient Name | Mr. FIRTOO GUPTA | Contact No | 9674782091 |
| Address | 15 KAPURIA PATTY LANE SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 151.2 cm BMI: 19.683799 |
| Diagnosis | |||