Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10029 | Date 02/09/2021 |
| Token No | SM/21-22/4671 02/09/2021 | Serial | 033 Last Visit: 02/09/2021 |
| Patient Name | Mr. M.D SAIF | Contact No | |
| Address | 56, N.N ROY STREET SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||