Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11450 | Date 17/08/2022 |
| Token No | SM/22-23/21011 05/04/2023 | Serial | 019 Last Visit: 13/12/2023 |
| Patient Name | Mr. SK SARFUDDIN | Contact No | 8981433083 |
| Address | 38 MUSALMAN PARA BYE LANE SERAMPORE | Age | 49 Years,11 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||