Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06669 | Date 17/10/2019 |
| Token No | SM/19-20/12883 07/11/2019 | Serial | 054 Last Visit: 07/11/2019 |
| Patient Name | Mr. SK SAHID | Contact No | 6289808440 |
| Address | CHATRA KANHAI DEWANTALA LANE , SERAMPORE | Age | 12 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||