Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00242 | Date 08/08/2018 |
| Token No | SM/19-20/12887 07/11/2019 | Serial | 058 Last Visit: 06/01/2022 |
| Patient Name | Mr. LAKSHMI NARAYAN MITRA | Contact No | 9830525593 |
| Address | 32 BHADURI PARA, CHATRA, SERAMPORE | Age | 47 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||