Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07325 | Date 11/01/2020 |
| Token No | SM/19-20/16592 11/01/2020 | Serial | 052 Last Visit: 03/10/2020 |
| Patient Name | Mr. SK TABREJ | Contact No | |
| Address | 21 ,CHATRA MUSALMAN PARA BYE LANE, SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||