Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05085 | Date 13/05/2019 |
| Token No | SM/19-20/3896 03/06/2019 | Serial | 019 Last Visit: 11/11/2020 |
| Patient Name | Mr. SK ANWAR ALI | Contact No | 8017230758 |
| Address | 34 MUSALMAN PARA LANE SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||