Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08153 | Date 27/04/2020 |
| Token No | SM/19-20/21579 27/04/2020 | Serial | 006 Last Visit: 29/12/2021 |
| Patient Name | Mr. RAMESH SHAW | Contact No | 8777372610 |
| Address | 307/79 RAM KRISHNA ROAD,BAIDYABATI(M) | Age | 17 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||