Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05413 | Date 13/06/2019 |
| Token No | SM/19-20/4493 13/06/2019 | Serial | 048 Last Visit: 13/06/2019 |
| Patient Name | Mr. KAMESHWAR THAKUR | Contact No | 7522014220 |
| Address | 15 K.L GOSWAMI STREET SERAMPORE | Age | 35 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||