Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12144 | Date 09/06/2023 |
| Token No | SM/22-23/22070 09/06/2023 | Serial | 001 Last Visit: 09/06/2023 |
| Patient Name | Mr. MD HASSAN | Contact No | 8420291015 |
| Address | 18 PARSHI LANE SERAMPORE | Age | 34 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||