Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10587 | Date 19/01/2022 |
| Token No | SM/21-22/9118 19/01/2022 | Serial | 024 Last Visit: 19/01/2022 |
| Patient Name | Mr. MD. SHARTAJ | Contact No | 7890681416 |
| Address | 21/C CHATRA MUSHALMAN PARA SERAMPORE | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 17.578125 |
| Diagnosis | |||