Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08456 | Date 30/06/2020 |
| Token No | SM/19-20/23577 30/06/2020 | Serial | 030 Last Visit: 30/06/2020 |
| Patient Name | Mr. MUJIBAR RAHAMAN | Contact No | 8479821494 |
| Address | 15.T.C. GOSWAMI STREET SERAMPORE | Age | 78 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||