Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 14809 | Date 13/01/2025 |
| Token No | SM/24-25/41672 13/01/2025 | Serial | 058 Last Visit: 13/01/2025 |
| Patient Name | Mr. SAHANAYAZ ANSARI | Contact No | 8981293295 |
| Address | 4/B MIYA DARJI LANE SERAMPORE MALLICKPARA | Age | 18 Years,4 Months,5 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 50.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||