Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04408 | Date 27/03/2019 |
| Token No | SM/19-20/3464 27/05/2019 | Serial | 020 Last Visit: 28/01/2020 |
| Patient Name | Mr. SK ABDUL RAHMAN | Contact No | 9830317053 |
| Address | 10A CHATRA MUSALMAN PARA SERAMPORE | Age | 75 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||