Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07407 | Date 22/01/2020 |
| Token No | SM/19-20/18262 17/02/2020 | Serial | 086 Last Visit: 25/11/2020 |
| Patient Name | Mr. SK JAHIRUDDIN | Contact No | 9903502138 |
| Address | 19 NO MUSALMAN PARA BYE LANE SERAMPORE | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||