Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07009 | Date 29/11/2019 |
| Token No | SM/19-20/14270 29/11/2019 | Serial | 039 Last Visit: 29/11/2019 |
| Patient Name | Mr. SK SALIM | Contact No | 9875427846 |
| Address | 20 KANAI DEWAN TALA BYE LANE SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||