Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08538 | Date 13/07/2020 |
| Token No | SM/19-20/24089 13/07/2020 | Serial | 059 Last Visit: 13/07/2020 |
| Patient Name | Mr. SAHEL ALI | Contact No | 6291833839 |
| Address | 16/C K.M BHATTACHARJEE STREET SERAMPORE | Age | 18 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||