Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06102 | Date 10/08/2019 |
| Token No | SM/24-25/40511 10/12/2024 | Serial | 025 Last Visit: 12/11/2025 |
| Patient Name | Mr. RAJ KUMAR THAKUR | Contact No | 9681059453 |
| Address | 14 K.C SEN ROAD , SERAMPORE | Age | 57 Years,10 Months,11 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||