Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 01635 | Date 11/10/2018 |
| Token No | SM/21-22/2709 30/06/2021 | Serial | 015 Last Visit: 30/01/2023 |
| Patient Name | Mr. SK IBRAHIM | Contact No | 9903384994 |
| Address | 10, PARSI LANE SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||