Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09695 | Date 09/06/2021 |
| Token No | SM/21-22/2060 09/06/2021 | Serial | 025 Last Visit: 09/06/2021 |
| Patient Name | Mr. SUMIT KUMAR SINGH | Contact No | 9831823808 |
| Address | 42/A BAROBAGAN LANE SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||