Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08618 | Date 03/08/2020 |
| Token No | SM/19-20/24682 03/08/2020 | Serial | 025 Last Visit: 03/08/2020 |
| Patient Name | Mr. SEKH MEHERAJUDDIN | Contact No | 7044340337 |
| Address | 18/NO MUSALMAN PARA BYE LANE SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||