Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09747 | Date 24/06/2021 |
| Token No | SM/21-22/2516 24/06/2021 | Serial | 017 Last Visit: 24/06/2021 |
| Patient Name | Mr. SK. SUROJ | Contact No | 916311755 |
| Address | 5/A/1 MUSHAL,AN PARA BYE LANE SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||