Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08024 | Date 06/04/2020 |
| Token No | SM/19-20/20780 06/04/2020 | Serial | 031 Last Visit: 06/04/2020 |
| Patient Name | Mr. AJAY KUMAR CHIUDHARY | Contact No | 6290759272 |
| Address | 25/A NATUN BAGAN LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||