Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09754 | Date 25/06/2021 |
| Token No | SM/22-23/11404 05/04/2022 | Serial | 012 Last Visit: 27/06/2022 |
| Patient Name | Mr. ROHIM ALI | Contact No | 9123707566 |
| Address | MUSHALMAN PARA SERAMPORE | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||