Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00927 | Date 05/09/2018 |
| Token No | SM/18-19/1252 05/09/2018 | Serial | 028 Last Visit: 05/09/2018 |
| Patient Name | Mr. SANKAR MAJHI | Contact No | 7477893051 |
| Address | DAI HAT BURDWAN | Age | 14.0 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||