Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05398 | Date 12/06/2019 |
| Token No | SM/19-20/12617 01/11/2019 | Serial | 064 Last Visit: 06/02/2020 |
| Patient Name | Mr. SHAILESH THAKUR | Contact No | 6290788740 |
| Address | 13 DR P.N MUKHERJEE STREET SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||