Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08910 | Date 28/10/2020 |
| Token No | SM/20-21/26968 28/10/2020 | Serial | 022 Last Visit: 28/10/2020 |
| Patient Name | Mr. SK ALTAF ALAM | Contact No | |
| Address | CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||