Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07020 | Date 30/11/2019 |
| Token No | SM/19-20/14328 30/11/2019 | Serial | 002 Last Visit: 30/11/2019 |
| Patient Name | Mr. AFJAL HUSSAIN | Contact No | 7980325063 |
| Address | 16 T.C GOSWAMI STREET SERAMPORE | Age | 63 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||