Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04777 | Date 20/04/2019 |
| Token No | SM/19-20/1227 20/04/2019 | Serial | 048 Last Visit: 20/04/2019 |
| Patient Name | Mr. SK ROHIT | Contact No | 6291476051 |
| Address | CHATRA MUSALMAN PARA , SERAMPORE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||