Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08505 | Date 08/07/2020 |
| Token No | SM/19-20/23895 08/07/2020 | Serial | 009 Last Visit: 13/07/2020 |
| Patient Name | Mr. MD RAFIQUE | Contact No | 6290311217 |
| Address | 3 PARSI LANE SERAMPORE | Age | 76 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||