Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10152 | Date 28/09/2021 |
| Token No | SM/21-22/5589 28/09/2021 | Serial | 021 Last Visit: 28/09/2021 |
| Patient Name | Mr. MD. KALIM | Contact No | 9062312206 |
| Address | 4,K.M BHATTACHARYA STREET SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||