Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12352 | Date 21/08/2023 |
| Token No | SM/22-23/23739 21/08/2023 | Serial | 047 Last Visit: 21/08/2023 |
| Patient Name | Mr. SK. NIJAMIUDDIN | Contact No | 8910241633 |
| Address | 7 ARBINDA SARANI CHATRA SERAMPORE | Age | 19 Years,10 Months,1 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||