Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01017 | Date 10/09/2018 |
| Token No | SM/21-22/3521 26/07/2021 | Serial | 045 Last Visit: 09/08/2021 |
| Patient Name | Mr. SK SAHAJAHAN | Contact No | 9143124320 |
| Address | 7, ARBINDA SARANI, SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||