Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00954 | Date 06/09/2018 |
| Token No | SM/22-23/26326 18/11/2023 | Serial | 027 Last Visit: 03/05/2025 |
| Patient Name | Mr. PAWAN KR.THAKUR | Contact No | 7044492782 |
| Address | 15 RAJA K L GOSWAMI STREET, SERAMPORE | Age | 16 Years,5 Months,16 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||