Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08961 | Date 10/11/2020 |
| Token No | SM/20-21/27425 10/11/2020 | Serial | 066 Last Visit: 10/11/2020 |
| Patient Name | Mr. AQUIB HUSSAIN | Contact No | 8444805902 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 9 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||