Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01636 | Date 11/10/2018 |
| Token No | SM/18-19/2790 11/10/2018 | Serial | 053 Last Visit: 11/10/2018 |
| Patient Name | Mr. BHAGWANJEE UPADHAYAY | Contact No | 8583834991 |
| Address | KONNANGAR ADARSH NAGAR | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 85/47 mmHg | Weight | 47 KG |
| Pulse Rate | 114 / min | Height | cm BMI: inf |
| Diagnosis | |||