Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05902 | Date 23/07/2019 |
| Token No | SM/19-20/7111 23/07/2019 | Serial | 049 Last Visit: 23/07/2019 |
| Patient Name | Mr. FIROJ LASKAR | Contact No | 9073124212 |
| Address | GAZI HALDAR PARA , UTTAR KUSUM USTHI, SOUTH 24 PARGANAS | Age | 21 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||