Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09932 | Date 12/08/2021 |
| Token No | SM/21-22/3976 12/08/2021 | Serial | 006 Last Visit: 12/08/2021 |
| Patient Name | Mr. ABDUL JABBAR | Contact No | 8820308058 |
| Address | 12/B/1 RABINDRA BHAWAN ROAD,SERAMPORE | Age | 72 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||