Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10022 | Date 01/09/2021 |
| Token No | SM/21-22/4623 01/09/2021 | Serial | 021 Last Visit: 01/09/2021 |
| Patient Name | Mr. SK. RAJU | Contact No | 9836788739 |
| Address | 34, MUSHALMAN PARA SERAMPORE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||