Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02385 | Date 07/12/2018 |
| Token No | SM/18-19/4808 07/12/2018 | Serial | 002 Last Visit: 07/12/2018 |
| Patient Name | Mr. AYUSH PAL | Contact No | 8101326295 |
| Address | 49B CHATRA K K MUKHERJEE JAGDHARTI PARA | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||