Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07672 | Date 28/02/2020 |
| Token No | SM/19-20/18885 28/02/2020 | Serial | 071 Last Visit: 18/07/2020 |
| Patient Name | Master SK ABBAS | Contact No | 8334086046 |
| Address | 35/A CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 3 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||