Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 05481 | Date 18/06/2019 |
| Token No | SM/19-20/4831 18/06/2019 | Serial | 089 Last Visit: 18/06/2019 |
| Patient Name | Master BIRAJ PASI | Contact No | 9433196115 |
| Address | 50 GANGULY BAGAN LANE MAHESH SERAMPORE | Age | 2.5YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 12 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||