Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05981 | Date 27/07/2019 |
| Token No | SM/19-20/7462 27/07/2019 | Serial | 074 Last Visit: 27/07/2019 |
| Patient Name | Mr. MD MURTUZA | Contact No | 6289034816 |
| Address | 56B N.N RAY STREET SERAMPORE | Age | 42 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||