Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04162 | Date 11/03/2019 |
| Token No | SM/18-19/10365 11/03/2019 | Serial | 074 Last Visit: 11/03/2019 |
| Patient Name | Mr. MD CHAND | Contact No | 9836021001 |
| Address | 24 TINBAJAR BYE LANE SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||