Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10037 | Date 03/09/2021 |
| Token No | SM/21-22/4699 03/09/2021 | Serial | 019 Last Visit: 03/09/2021 |
| Patient Name | Mr. SHAIKH SALAM | Contact No | 8697774318 |
| Address | 21, KUMOR PARA LANE SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||