Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06401 | Date 13/09/2019 |
| Token No | SM/19-20/10311 13/09/2019 | Serial | 041 Last Visit: 13/09/2019 |
| Patient Name | Mr. NISHANT THAKUR | Contact No | 9062472485 |
| Address | 195, R.B.C ROAD SOUTH DUM DUM(M) , NORTH 24 PARGANAS | Age | 16 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||