Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08269 | Date 18/05/2020 |
| Token No | SM/19-20/22348 18/05/2020 | Serial | 047 Last Visit: 18/05/2020 |
| Patient Name | Mr. AFTAB AALAM | Contact No | 9830881673 |
| Address | 5 PARSI LANE SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||