Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06781 | Date 01/11/2019 |
| Token No | SM/19-20/12903 07/11/2019 | Serial | 074 Last Visit: 07/11/2019 |
| Patient Name | Mr. RAJVIR SINGH | Contact No | 8697411270 |
| Address | 41 A.P GHOSH ROAD CHATRA SERAMPORE | Age | 13 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||