Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 14414 | Date 18/10/2024 |
| Token No | SM/24-25/38318 18/10/2024 | Serial | 041 Last Visit: 18/10/2024 |
| Patient Name | Mr. MD ASRAF | Contact No | 6291406347 |
| Address | 21 CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 29 Years,0 Months,10 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||