Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12687 | Date 01/11/2023 |
| Token No | SM/22-23/25799 01/11/2023 | Serial | 026 Last Visit: 03/06/2024 |
| Patient Name | Mr. SK HAIDAR | Contact No | 7439290517 |
| Address | 12 MUSALMAN PARA BYE LANE SERAMPORE | Age | 23 Years,10 Months,18 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||