Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09302 | Date 09/03/2021 |
| Token No | SM/20-21/30538 09/03/2021 | Serial | 013 Last Visit: 09/03/2021 |
| Patient Name | Mr. ABDUL HAMID | Contact No | 8240842671 |
| Address | 19, T C GOSWAMI STREET SERAMPORE | Age | 56 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||