Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06074 | Date 07/08/2019 |
| Token No | SM/19-20/8058 07/08/2019 | Serial | 001 Last Visit: 02/01/2021 |
| Patient Name | Mr. SK SARIF | Contact No | 9123850282 |
| Address | GODAPARA, MURSHIDABAD, GODAPARA | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||