Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13105 | Date 09/01/2024 |
| Token No | SM/22-23/28012 09/01/2024 | Serial | 049 Last Visit: 09/01/2024 |
| Patient Name | Mr. AJIJON SEIKH | Contact No | 8145487444 |
| Address | PN MUKHERJEE STREET JOL TANK | Age | 50 Years,0 Months,7 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.5 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 22.232014 |
| Diagnosis | |||