Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06434 | Date 16/09/2019 |
| Token No | SM/19-20/10496 16/09/2019 | Serial | 097 Last Visit: 16/09/2019 |
| Patient Name | Mr. ABDUL GAFFAR | Contact No | 9088826738 |
| Address | 44 N.N RAY STREET SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||