Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07765 | Date 12/03/2020 |
| Token No | SM/19-20/20030 20/03/2020 | Serial | 067 Last Visit: 04/11/2020 |
| Patient Name | Mr. SK JAHANGIR | Contact No | 9831481291 |
| Address | 46/B CHATRA MUSALMAN PARA SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||