Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09357 | Date 19/03/2021 |
| Token No | SM/20-21/30930 19/03/2021 | Serial | 039 Last Visit: 19/03/2021 |
| Patient Name | Mr. SK ABU BARKAT | Contact No | 8620841810 |
| Address | VILL+PO- KHARERA, PS- SALAR, DIST- MURSHIDABAD | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||