Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08454 | Date 30/06/2020 |
| Token No | SM/19-20/23570 30/06/2020 | Serial | 023 Last Visit: 24/09/2020 |
| Patient Name | Mr. SHEKH JAVED | Contact No | 8820225039 |
| Address | 21,MUSALMANPARA LANE SERAMPORE M | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||