Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04529 | Date 03/04/2019 |
| Token No | SM/19-20/2216 04/05/2019 | Serial | 076 Last Visit: 27/10/2020 |
| Patient Name | Mr. MD ISRAFIL | Contact No | 6291643274 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||