Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04508 | Date 02/04/2019 |
| Token No | SM/19-20/11911 17/10/2019 | Serial | 021 Last Visit: 17/10/2019 |
| Patient Name | Mr. MAHMUD ALAM | Contact No | 9123894631 |
| Address | 4 ROY GHAT LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||