Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06864 | Date 14/11/2019 |
| Token No | SM/19-20/25026 19/08/2020 | Serial | 038 Last Visit: 19/08/2020 |
| Patient Name | Mr. MD ALAUDDIN | Contact No | 8697098429 |
| Address | 16 CHATRA MUSALMAN PARA , SERAMPORE | Age | 58 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||