Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01112 | Date 13/09/2018 |
| Token No | SM/19-20/14138 27/11/2019 | Serial | 047 Last Visit: 08/12/2025 |
| Patient Name | Mr. BIKAS LAHA | Contact No | 8013289311 |
| Address | 13/C CHATRA DUTTA PARA SERAMPORE | Age | 67 Years,11 Months,6 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||