Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06769 | Date 31/10/2019 |
| Token No | SM/19-20/12520 31/10/2019 | Serial | 041 Last Visit: 31/10/2019 |
| Patient Name | Mr. NAJEMUDDIN SEKH | Contact No | 7001081624 |
| Address | 4/A ARBINDA SARANI, SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||