Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00116 | Date 04/08/2018 |
| Token No | SM/19-20/12443 26/10/2019 | Serial | 012 Last Visit: 04/12/2020 |
| Patient Name | Mr. TAPAS KUMAR LAHA | Contact No | 8420946887 |
| Address | 60, CHATRA DUTTA PARA,SERAMPORE | Age | 58 yrs Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||