Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05027 | Date 07/05/2019 |
| Token No | SM/19-20/3291 23/05/2019 | Serial | 039 Last Visit: 23/05/2019 |
| Patient Name | Mr. MD SHAMIM | Contact No | 7003349483 |
| Address | 41 K.M BHATTCHARYA STREET SERAMPORE | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||