Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00153 | Date 06/08/2018 |
| Token No | SM/18-19/158 06/08/2018 | Serial | 019 Last Visit: 06/08/2018 |
| Patient Name | Master MRINGANKA PAL | Contact No | |
| Address | 5, CHATRA BARUI PARA | Age | 6 Years,9 Months,14 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 23 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||