Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00197 | Date 07/08/2018 |
| Token No | SM/18-19/4056 22/11/2018 | Serial | 051 Last Visit: 26/05/2025 |
| Patient Name | Mr. PINAKITOSH LAHA | Contact No | 9830084495 |
| Address | 63B, BARUIPARA LANE | Age | 69 Years,4 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||