Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05736 | Date 11/07/2019 |
| Token No | SM/19-20/6293 11/07/2019 | Serial | 043 Last Visit: 11/07/2019 |
| Patient Name | Mr. ABDUL MAJID | Contact No | 8296160647 |
| Address | 19 T.C. GOSWAMI STREET | Age | 43 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||