Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01892 | Date 05/11/2018 |
| Token No | SM/19-20/1421 23/04/2019 | Serial | 002 Last Visit: 31/03/2021 |
| Patient Name | Mr. SUBHAM LAHA | Contact No | 9330021570 |
| Address | 26, BARUIPARA LANE SERAMPORE | Age | 13 Y Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||