Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06030 | Date 01/08/2019 |
| Token No | SM/19-20/7718 01/08/2019 | Serial | 049 Last Visit: 01/08/2019 |
| Patient Name | Mr. SHAYAAN RAHMAD | Contact No | 8100716426 |
| Address | 56 N.N RAY STREET SERAMPORE | Age | 15 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||