Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10921 | Date 13/04/2022 |
| Token No | SM/22-23/11697 13/04/2022 | Serial | 012 Last Visit: 13/04/2022 |
| Patient Name | Mr. SONTU MALIK | Contact No | |
| Address | 37 C/2 BARABAGAN LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 162.9 cm BMI: 15.073629 |
| Diagnosis | |||