Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05021 | Date 07/05/2019 |
| Token No | SM/19-20/2231 07/05/2019 | Serial | 012 Last Visit: 07/05/2019 |
| Patient Name | Mr. AJIT KUMAR THAKUR | Contact No | 7309588311 |
| Address | 13 DR, P.N MUKHERJEE STREET SERAMPORE | Age | 30 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||