Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08383 | Date 18/06/2020 |
| Token No | SM/19-20/23224 18/06/2020 | Serial | 023 Last Visit: 03/09/2020 |
| Patient Name | Mr. SK SHAHJAHAN | Contact No | 8017782772 |
| Address | 20 MUSALMAN PARA LANE SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||