Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07564 | Date 17/02/2020 |
| Token No | SM/19-20/18257 17/02/2020 | Serial | 081 Last Visit: 17/02/2020 |
| Patient Name | Mr. MD ABATB ALAM | Contact No | 8420174054 |
| Address | 21 KANHAI DEWAN TALA LANE SERAMPORE | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||