Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06345 | Date 06/09/2019 |
| Token No | SM/19-20/10129 11/09/2019 | Serial | 036 Last Visit: 11/09/2019 |
| Patient Name | Mr. MD ISLAM | Contact No | 9831115263 |
| Address | 21 PARSHI LANE SILBAGAN , SERAMPORE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||