Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04793 | Date 20/04/2019 |
| Token No | SM/19-20/16850 18/01/2020 | Serial | 018 Last Visit: 10/06/2020 |
| Patient Name | Mr. CHANDAN THAKUR | Contact No | 9874137278 |
| Address | 19 DR, P.N MUKHERJEE STREET SERAMPORE | Age | 65 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||