Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09641 | Date 24/05/2021 |
| Token No | SM/21-22/1649 24/05/2021 | Serial | 027 Last Visit: 27/07/2021 |
| Patient Name | Mr. MD KHURSHID | Contact No | 9062151633 |
| Address | 44 N N ROY STREET SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||