Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09570 | Date 30/04/2021 |
| Token No | SM/21-22/1052 30/04/2021 | Serial | 046 Last Visit: 30/04/2021 |
| Patient Name | Mr. MANGAL DEV JAISWARA | Contact No | 7890089237 |
| Address | 28/E TIN BAZAR SERAMPORE | Age | 44 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||