Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08922 | Date 31/10/2020 |
| Token No | SM/20-21/27005 31/10/2020 | Serial | 014 Last Visit: 31/10/2020 |
| Patient Name | Mr. MD AYNUR | Contact No | 9378034500 |
| Address | SILBAGAN SERAMPORE | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||