Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09928 | Date 11/08/2021 |
| Token No | SM/21-22/3955 11/08/2021 | Serial | 018 Last Visit: 21/01/2025 |
| Patient Name | Mr. SK AZHAR | Contact No | 6291526747 |
| Address | 5,CHATRA ARABINDA SARANI SERAMPORE | Age | 30 Years,10 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||