Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06369 | Date 11/09/2019 |
| Token No | SM/19-20/10113 11/09/2019 | Serial | 020 Last Visit: 11/09/2019 |
| Patient Name | Mr. SATYA NARAYAN LAHA | Contact No | 9163239182 |
| Address | 26B BARUIPARA LANE CHATRA SERAMPORE | Age | 86 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||