Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05254 | Date 27/05/2019 |
| Token No | SM/19-20/3508 27/05/2019 | Serial | 064 Last Visit: 27/05/2019 |
| Patient Name | Mr. SK AMSAD ALI | Contact No | 9836059434 |
| Address | 34 MUSALMAN PARA LANE SERAMPORE | Age | 46 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||