Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02683 | Date 27/12/2018 |
| Token No | SM/18-19/8025 05/02/2019 | Serial | 016 Last Visit: 07/10/2024 |
| Patient Name | Mr. AMAL KUMAR LAHA | Contact No | 9007405530 |
| Address | 12 DUTTA PARA CHATRA | Age | 72 Years,9 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||