Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10268 | Date 12/11/2021 |
| Token No | SM/21-22/6770 12/11/2021 | Serial | 044 Last Visit: 03/01/2022 |
| Patient Name | Mr. RAHMAT ALI | Contact No | 8100655097 |
| Address | 16/C RABINDRA BHABAN ROAD SERAMPORE | Age | 40 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||