Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07852 | Date 19/03/2020 |
| Token No | SM/19-20/19932 19/03/2020 | Serial | 035 Last Visit: 19/03/2020 |
| Patient Name | Mr. JABED KHAN | Contact No | 9088505110 |
| Address | 23 TP BHATTACHARYA STREET SERAMPORE | Age | 37 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||