Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09885 | Date 28/07/2021 |
| Token No | SM/21-22/3840 07/08/2021 | Serial | 011 Last Visit: 17/03/2023 |
| Patient Name | Mr. GOUTAM KAIRI | Contact No | 6291014908 |
| Address | 21/B L.. B .S ROAD SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||