Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08379 | Date 18/06/2020 |
| Token No | SM/20-21/25977 24/09/2020 | Serial | 007 Last Visit: 24/09/2020 |
| Patient Name | Mr. SK JUNU | Contact No | 7450915354 |
| Address | 7 MUSALMAN PARA LANE SERAMPORE | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||