Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10175 | Date 04/10/2021 |
| Token No | SM/21-22/5716 04/10/2021 | Serial | 037 Last Visit: 04/10/2021 |
| Patient Name | Mr. SK MONSUR ALI | Contact No | 9594697386 |
| Address | GOPINATH SAHA STREET SERAMPORE | Age | 66 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||