Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01178 | Date 15/09/2018 |
| Token No | SM/21-22/8595 06/01/2022 | Serial | 046 Last Visit: 06/01/2022 |
| Patient Name | Mr. SK NASIM | Contact No | 9903609780 |
| Address | 5,ARABINDRA SARANI CHATRA SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 15899 cm BMI: 0.002571 |
| Diagnosis | |||