Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01830 | Date 01/11/2018 |
| Token No | SM/18-19/3283 01/11/2018 | Serial | 032 Last Visit: 13/06/2020 |
| Patient Name | Mr. SK AFTAB | Contact No | |
| Address | CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 21 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||