Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04206 | Date 15/03/2019 |
| Token No | SM/19-20/8640 19/08/2019 | Serial | 094 Last Visit: 18/04/2022 |
| Patient Name | Mr. MD AZAHAR | Contact No | 9830771191 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||