Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07448 | Date 01/02/2020 |
| Token No | SM/19-20/17416 01/02/2020 | Serial | 027 Last Visit: 13/03/2020 |
| Patient Name | Master SK ZAHIR | Contact No | 9681905604 |
| Address | 41 MUSALMAN PARA ROAD SHEORAPHULI, SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||