Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09877 | Date 26/07/2021 |
| Token No | SM/21-22/3522 26/07/2021 | Serial | 046 Last Visit: 26/07/2021 |
| Patient Name | Mr. MD IBRAHIM | Contact No | 8961739649 |
| Address | CHATRA MUSHALMAN PARA SERAMPORE | Age | 60 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||