Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06161 | Date 20/08/2019 |
| Token No | SM/19-20/8742 20/08/2019 | Serial | 021 Last Visit: 20/08/2019 |
| Patient Name | Mr. JUNED ALAM | Contact No | 9088044509 |
| Address | 45 N.N RAY STREET SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||