Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 07887 | Date 23/03/2020 |
| Token No | SM/19-20/20112 23/03/2020 | Serial | 007 Last Visit: 23/03/2020 |
| Patient Name | Mr. HASAN MALLICK | Contact No | 6290210778 |
| Address | 33 MIAJAN DARJEE LANE,SERAMPORE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 17 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||