Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07948 | Date 27/03/2020 |
| Token No | SM/19-20/20409 27/03/2020 | Serial | 057 Last Visit: 08/04/2020 |
| Patient Name | Mr. MD NIZAMUDDIN | Contact No | 9748511377 |
| Address | 56,N.N.ROY STREET SERAMPORE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||