Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00550 | Date 18/08/2018 |
| Token No | SM/18-19/4075 24/11/2018 | Serial | 005 Last Visit: 14/01/2021 |
| Patient Name | Mr. BENU LAHA | Contact No | 7686008847 |
| Address | 13/A CHATRA DUTTA PARA | Age | 52 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||