Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08624 | Date 04/08/2020 |
| Token No | SM/19-20/24713 04/08/2020 | Serial | 023 Last Visit: 04/08/2020 |
| Patient Name | Mr. MD MAKSUD | Contact No | 9331935987 |
| Address | 47 N.N RAY STREET SERAMPORE | Age | 80 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||