Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10268 | Date 12/11/2021 |
| Token No | SM/21-22/8310 30/12/2021 | Serial | 041 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 | 56 KG |
| Pulse Rate | / min | Height | 156.1 cm BMI: 22.981704 |
| Diagnosis | |||