Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05475 | Date 18/06/2019 |
| Token No | SM/19-20/4814 18/06/2019 | Serial | 072 Last Visit: 27/03/2025 |
| Patient Name | Mr. ANKIT KUMAR THAKUR | Contact No | 7439451340 |
| Address | 15 RAJA K.L GOSWAMI STREET SERAMPORE | Age | 21 Years,2 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||