Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05933 | Date 24/07/2019 |
| Token No | SM/19-20/7223 24/07/2019 | Serial | 065 Last Visit: 24/07/2019 |
| Patient Name | Mr. AKTAR HOSSAIN | Contact No | |
| Address | 5 PARSI LANE SERAMPORE | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||