Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06374 | Date 11/09/2019 |
| Token No | SM/19-20/10148 11/09/2019 | Serial | 055 Last Visit: 11/09/2019 |
| Patient Name | Mr. MD AINUL | Contact No | 9378034500 |
| Address | 3 PARSHI LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||