Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09892 | Date 30/07/2021 |
| Token No | SM/21-22/3623 30/07/2021 | Serial | 007 Last Visit: 17/01/2022 |
| Patient Name | Mr. MD AKBAR | Contact No | 9681306996 |
| Address | 14,PARSHI LANE SERAMPORE | Age | 32 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||