Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12441 | Date 07/09/2023 |
| Token No | SM/22-23/24847 29/09/2023 | Serial | 039 Last Visit: 30/08/2025 |
| Patient Name | Mr. MD SHAKIR | Contact No | 9534793732 |
| Address | 2 MAYADA PATTI LANE SERAMPORE | Age | 55 Years,7 Months,28 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 113/76 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||