Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08615 | Date 03/08/2020 |
| Token No | SM/19-20/24671 03/08/2020 | Serial | 014 Last Visit: 28/08/2020 |
| Patient Name | Mr. MOHAMMED HARUN | Contact No | 9007803043 |
| Address | 29 MUSALMANPARA LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||