Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07755 | Date 11/03/2020 |
| Token No | SM/19-20/19666 14/03/2020 | Serial | 069 Last Visit: 14/03/2020 |
| Patient Name | Mr. MD JAHANGIR | Contact No | 9088124712 |
| Address | 4 RAY GHAT LANE SERAMPORE | Age | 52 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||