Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02373 | Date 06/12/2018 |
| Token No | SM/18-19/4772 06/12/2018 | Serial | 027 Last Visit: 06/12/2018 |
| Patient Name | Mr. AMAN CHOWDHURY | Contact No | 9681845294 |
| Address | 192 NEW MAHESH | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||