Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07328 | Date 13/01/2020 |
| Token No | SM/19-20/16601 13/01/2020 | Serial | 003 Last Visit: 13/01/2020 |
| Patient Name | Mr. SK SAMSUDDIN | Contact No | 8697024890 |
| Address | 29/A CHATRA MUSALMAN PARA, SERAMPORE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||