Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09820 | Date 08/07/2021 |
| Token No | SM/22-23/18430 30/11/2022 | Serial | 022 Last Visit: 30/11/2022 |
| Patient Name | Mr. SK. RAMJAN ALI | Contact No | 9062272953 |
| Address | 34 MUSHALMAN PARA LANE SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||