Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09677 | Date 04/06/2021 |
| Token No | SM/21-22/1934 04/06/2021 | Serial | 029 Last Visit: 09/06/2021 |
| Patient Name | Mr. SK. KHOKAN | Contact No | |
| Address | 3/A MUSHALMAN PARA LANE SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||