Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09392 | Date 25/03/2021 |
| Token No | SM/20-21/31163 25/03/2021 | Serial | 021 Last Visit: 25/03/2021 |
| Patient Name | Mr. ANIL THAKUR | Contact No | 7044312886 |
| Address | 12D,DR. P.N MUKHERJEE ROAD CHATRA,SERAMPORE | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||