Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07231 | Date 27/12/2019 |
| Token No | SM/19-20/15920 27/12/2019 | Serial | 004 Last Visit: 27/12/2019 |
| Patient Name | Mr. AFROZ HUSSAIN | Contact No | 7980325063 |
| Address | 16 T.C GOSWAMI STREET SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||