Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13194 | Date 05/02/2024 |
| Token No | SM/22-23/28762 05/02/2024 | Serial | 021 Last Visit: 05/02/2024 |
| Patient Name | Master MD NASIM | Contact No | 6201440300 |
| Address | CHATRA KUMAR PARA SERAMPORE | Age | 0 Years,10 Months,19 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||