Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11577 | Date 16/09/2022 |
| Token No | SM/22-23/16780 16/09/2022 | Serial | 007 Last Visit: 16/09/2022 |
| Patient Name | Mr. SK RAHAMAT | Contact No | 8777217927 |
| Address | 5/A MUSALMAN PARA CHATRA SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||