Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08544 | Date 14/07/2020 |
| Token No | SM/19-20/24120 14/07/2020 | Serial | 023 Last Visit: 14/07/2020 |
| Patient Name | Mr. MD NESAR | Contact No | 8240486784 |
| Address | 57 N.N ROY STREET SERAMPORE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||