Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10053 | Date 07/09/2021 |
| Token No | SM/21-22/5303 21/09/2021 | Serial | 030 Last Visit: 25/09/2021 |
| Patient Name | Mr. MD SAHID | Contact No | 7439550466 |
| Address | 12 K M BHATTACHARYA STREET | Age | 82 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||