Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08991 | Date 24/11/2020 |
| Token No | SM/20-21/27732 24/11/2020 | Serial | 051 Last Visit: 24/11/2020 |
| Patient Name | Mr. MD AFTAB ALAM | Contact No | 9804061155 |
| Address | 21 KANAI DEWANTALA BYE LANE,SERAMPORE | Age | 24 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||