Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08492 | Date 06/07/2020 |
| Token No | SM/19-20/23811 06/07/2020 | Serial | 053 Last Visit: 25/10/2021 |
| Patient Name | Mr. MD SHAHZADAH | Contact No | 6289951820 |
| Address | 10 T.C GOSWAMI STREET SERAMPORE | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||