Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10330 | Date 24/11/2021 |
| Token No | SM/21-22/7101 24/11/2021 | Serial | 018 Last Visit: 25/11/2022 |
| Patient Name | Mr. SK. NIZAMUDDIN ALI | Contact No | 7980086211 |
| Address | 20,RABINDRA BHAVAN ROAD SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||