Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08992 | Date 24/11/2020 |
| Token No | SM/20-21/28300 10/12/2020 | Serial | 030 Last Visit: 10/12/2020 |
| Patient Name | Mr. MD MURTAZA | Contact No | |
| Address | CHATRA KUMAR PARA SERAMPORE | Age | 2 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||