Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08926 | Date 03/11/2020 |
| Token No | SM/20-21/27090 03/11/2020 | Serial | 015 Last Visit: 03/11/2020 |
| Patient Name | Mr. SK PARVAZ AMINURN RASHID | Contact No | 7890076607 |
| Address | 23/1/A CHATRA MUSLMAN PARA , SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||