Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11684 | Date 17/11/2022 |
| Token No | SM/22-23/18010 17/11/2022 | Serial | 014 Last Visit: 17/11/2022 |
| Patient Name | Mr. SK. IMRAN | Contact No | 8240289541 |
| Address | 12 CHTRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 25 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||