Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06625 | Date 14/10/2019 |
| Token No | SM/19-20/11668 14/10/2019 | Serial | 062 Last Visit: 21/02/2025 |
| Patient Name | Mr. HEMANTA LAHA | Contact No | 9674434473 |
| Address | 36/2,D N MUKHERJEE ROAD,BAIDYABATI(M) | Age | 47 Years,1 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||