Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07649 | Date 27/02/2020 |
| Token No | SM/19-20/19560 13/03/2020 | Serial | 034 Last Visit: 13/03/2020 |
| Patient Name | Mr. PABAN PATRA | Contact No | 9748984940 |
| Address | PAHALANPUR DIARA , SINGUR | Age | 11 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 33.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||