Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06078 | Date 07/08/2019 |
| Token No | SM/19-20/14234 29/11/2019 | Serial | 003 Last Visit: 01/05/2020 |
| Patient Name | Mr. NILRATAN LAHA | Contact No | 9239707021 |
| Address | 23A CHATRA DUTTA PARA SERAMPORE | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||