Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00400 | Date 13/08/2018 |
| Token No | SM/19-20/12025 18/10/2019 | Serial | 045 Last Visit: 18/10/2019 |
| Patient Name | Mr. MD. MAKSHUD | Contact No | |
| Address | 47, N.N. ROY STREET, SERAMPORE | Age | 76.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||