Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08732 | Date 10/09/2020 |
| Token No | SM/19-20/25635 10/09/2020 | Serial | 073 Last Visit: 10/09/2020 |
| Patient Name | Mr. SHIV KUMAR SHA | Contact No | 9310018768 |
| Address | 21/B LAL BHADUR SHASTRI ROAD SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||