Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10062 | Date 09/09/2021 |
| Token No | SM/21-22/4909 09/09/2021 | Serial | 007 Last Visit: 09/12/2021 |
| Patient Name | Mr. MD. KARAN | Contact No | 8610083820 |
| Address | 57,N.N ROY STREET SERAMPORE | Age | 23 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||