Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08396 | Date 20/06/2020 |
| Token No | SM/21-22/833 24/04/2021 | Serial | 022 Last Visit: 08/11/2021 |
| Patient Name | Mr. MD RAHMATULLAH | Contact No | 8444991318 |
| Address | 11 T.C GOSWAMI STREET SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||