Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08398 | Date 20/06/2020 |
| Token No | SM/19-20/23280 20/06/2020 | Serial | 019 Last Visit: 20/06/2020 |
| Patient Name | Mr. SEKH SADDAM | Contact No | 8481988133 |
| Address | 13 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||