Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07267 | Date 02/01/2020 |
| Token No | SM/19-20/16135 02/01/2020 | Serial | 028 Last Visit: 02/01/2020 |
| Patient Name | Master BIJAY MAJHI | Contact No | 7044353922 |
| Address | HORPUR AAT PARA , DIARA | Age | 2.6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 11 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||