Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07863 | Date 19/03/2020 |
| Token No | SM/19-20/19961 19/03/2020 | Serial | 064 Last Visit: 19/03/2020 |
| Patient Name | Mr. SUMIT PASWAN | Contact No | 9123720713 |
| Address | 10 M.G ROAD SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||