Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09518 | Date 22/04/2021 |
| Token No | SM/21-22/3724 03/08/2021 | Serial | 020 Last Visit: 03/08/2021 |
| Patient Name | Mr. SK SOHAIL | Contact No | 8479965837 |
| Address | 15,MUSALMANPARA BYE LANE CHATRA SERAMPORE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||