Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07938 | Date 26/03/2020 |
| Token No | SM/19-20/20715 03/04/2020 | Serial | 046 Last Visit: 03/04/2020 |
| Patient Name | Mr. RAHUL MAL | Contact No | 8276843023 |
| Address | 24 TELIPARA,BAGHER BAGAN,BAIDYABATI(M) | Age | 14 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||