Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10158 | Date 29/09/2021 |
| Token No | SM/21-22/5617 29/09/2021 | Serial | 005 Last Visit: 30/05/2025 |
| Patient Name | Mr. SK. ROHIM ALI | Contact No | 9123707566 |
| Address | 34,MUSALMAN PARA LANE SERAMPORE | Age | 25 Years,4 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||