Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05318 | Date 01/06/2019 |
| Token No | SM/19-20/3877 01/06/2019 | Serial | 078 Last Visit: 10/11/2020 |
| Patient Name | Mr. TUHIN SINGH | Contact No | 7449774981 |
| Address | KAJI PARA , BAIDYABATI (M) | Age | 5.5 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||