Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05250 | Date 27/05/2019 |
| Token No | SM/19-20/3504 27/05/2019 | Serial | 060 Last Visit: 27/05/2019 |
| Patient Name | Mr. MD ARABAAZ | Contact No | 9748924223 |
| Address | 34/3 GANDHI SARAK RISHRA HOOGHLY | Age | 15 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||