Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09731 | Date 21/06/2021 |
| Token No | SM/21-22/2375 21/06/2021 | Serial | 018 Last Visit: 21/06/2021 |
| Patient Name | Mr. SHAHIN PARVEEN | Contact No | 9903128141 |
| Address | 10,T.C GHOSWAMI STREET SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||