Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09592 | Date 06/05/2021 |
| Token No | SM/21-22/1339 12/05/2021 | Serial | 012 Last Visit: 12/05/2021 |
| Patient Name | Mr. MD JAHIR | Contact No | 9748578182 |
| Address | 56 N N ROY STREET SERAMPORE | Age | 32 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||