Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00943 | Date 06/09/2018 |
| Token No | SM/19-20/14000 26/11/2019 | Serial | 007 Last Visit: 05/08/2024 |
| Patient Name | Mr. PANKAJ THAKUR | Contact No | 8582881507 |
| Address | 15, RAJA K.L GOSWAMI STREET | Age | 15 Years,7 Months,3 Days Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||