Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07003 | Date 28/11/2019 |
| Token No | SM/22-23/26057 08/11/2023 | Serial | 023 Last Visit: 08/11/2023 |
| Patient Name | Mr. SEKH MONOUR ALI | Contact No | 9674482592 |
| Address | 7/E MUSALMAN PRA BYE LANE SERAMPORE | Age | 60 Years,10 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||