Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06941 | Date 21/11/2019 |
| Token No | SM/19-20/13707 21/11/2019 | Serial | 045 Last Visit: 21/11/2019 |
| Patient Name | Mr. MODHAMT SAHABUDDIN | Contact No | 9804768681 |
| Address | BARO BELUR , BELUMILKI, SERAMPORE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||