Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09542 | Date 26/04/2021 |
| Token No | SM/21-22/878 26/04/2021 | Serial | 042 Last Visit: 26/04/2021 |
| Patient Name | Mr. MD. SARIF | Contact No | 9651306996 |
| Address | 14,PARSHI LANE SERAMPORE | Age | 26 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||