Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10352 | Date 27/11/2021 |
| Token No | SM/21-22/7269 27/11/2021 | Serial | 045 Last Visit: 27/11/2021 |
| Patient Name | Mr. HIDAYETTULLA KHAN | Contact No | 8457616265 |
| Address | MUSALMAN PARA LANE SERAMPORE | Age | 54 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||