Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08391 | Date 19/06/2020 |
| Token No | SM/19-20/23255 19/06/2020 | Serial | 018 Last Visit: 19/06/2020 |
| Patient Name | Mr. MD USHMAN | Contact No | 9831512937 |
| Address | 16B RABINDRA BHAWAN SARANI SERAMPORE | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||