Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06045 | Date 05/08/2019 |
| Token No | SM/19-20/8453 16/08/2019 | Serial | 036 Last Visit: 16/08/2019 |
| Patient Name | Mr. SK FIROZ | Contact No | 6002786743 |
| Address | CHATRA MUSALMAN PARA , SERAMPORE | Age | 28 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||