Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12316 | Date 04/08/2023 |
| Token No | SM/22-23/23390 04/08/2023 | Serial | 035 Last Visit: 04/08/2023 |
| Patient Name | Mr. LALAN THAKUR | Contact No | 8250574700 |
| Address | 15 RAJA K L GOSWAMI STREET | Age | 28 Years,8 Months,22 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.1 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||