Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06446 | Date 17/09/2019 |
| Token No | SM/19-20/10544 17/09/2019 | Serial | 035 Last Visit: 17/09/2019 |
| Patient Name | Mr. SK FIROZ | Contact No | |
| Address | BARO BELU KAL TALA ,PIYARAPUR SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||