Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04232 | Date 15/03/2019 |
| Token No | SM/19-20/16742 16/01/2020 | Serial | 021 Last Visit: 25/01/2025 |
| Patient Name | Mr. SANDIP LAHA | Contact No | 8420704448 |
| Address | 36/2 D.N MUKHERJEE LANE BIAYABATI(M) | Age | 49 Years,0 Months,24 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 87 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||