Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07976 | Date 30/03/2020 |
| Token No | SM/19-20/20525 30/03/2020 | Serial | 076 Last Visit: 01/04/2020 |
| Patient Name | Mr. MD SALEKIN | Contact No | 7439183654 |
| Address | 32 TC GOSWAMI STREET SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||