Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02557 | Date 17/12/2018 |
| Token No | SM/19-20/16149 02/01/2020 | Serial | 042 Last Visit: 02/01/2020 |
| Patient Name | Mr. PAPPU KUMAR SHAW | Contact No | 6291780698 |
| Address | RISHRA HOOGHLY | Age | 29 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||