Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12493 | Date 20/09/2023 |
| Token No | SM/22-23/24546 20/09/2023 | Serial | 024 Last Visit: 20/09/2023 |
| Patient Name | Mr. SK SAFIK | Contact No | 9830962461 |
| Address | 5 NO CHATRA BARIN GHOSH LANE SERAMPORE | Age | 50 Years,8 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 177/100 mmHg | Weight | 73.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||