Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07045 | Date 02/12/2019 |
| Token No | SM/19-20/14501 02/12/2019 | Serial | 094 Last Visit: 02/12/2019 |
| Patient Name | Mr. SK BARAKTULLA | Contact No | 8017825878 |
| Address | BAREBELU, BELUMILKI, HOOGHLY | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 26 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||