Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10077 | Date 13/09/2021 |
| Token No | SM/21-22/5025 13/09/2021 | Serial | 015 Last Visit: 17/12/2025 |
| Patient Name | Mr. ALTAF HUSSAIN | Contact No | 7479200445 |
| Address | 56/A N.N ROY STREET SERAMPORE | Age | 45 Years,11 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||