Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06562 | Date 27/09/2019 |
| Token No | SM/19-20/11243 27/09/2019 | Serial | 054 Last Visit: 27/09/2019 |
| Patient Name | Mr. RAKHES SINGH | Contact No | 7059363285 |
| Address | SEORAPHULI, CHARABAGAN LANE,BAIDYABATI(M) | Age | 10 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||