Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09896 | Date 31/07/2021 |
| Token No | SM/21-22/3653 31/07/2021 | Serial | 015 Last Visit: 31/07/2021 |
| Patient Name | Mr. MD. NASIRUL ISLAM | Contact No | 907030629 |
| Address | CHATTERJEE LANE SERAMPORE | Age | 49 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/100 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||