Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10091 | Date 16/09/2021 |
| Token No | SM/21-22/5148 16/09/2021 | Serial | 020 Last Visit: 13/04/2024 |
| Patient Name | Mr. MD. RAMZAN | Contact No | |
| Address | 13 K.M BHATTACHARJEE STREET SERAMPORE | Age | 61 Years,3 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||