Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09832 | Date 10/07/2021 |
| Token No | SM/21-22/3076 10/07/2021 | Serial | 016 Last Visit: 10/07/2021 |
| Patient Name | Mr. MD. ALIMUDDIN | Contact No | 8479042100 |
| Address | 21 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||