Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08856 | Date 13/10/2020 |
| Token No | SM/20-21/26596 13/10/2020 | Serial | 013 Last Visit: 13/10/2020 |
| Patient Name | Mr. MD JAHANGIR | Contact No | 8240958997 |
| Address | 56A N.N ROY STREET SERAMPORE | Age | 22 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||