Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01813 | Date 01/11/2018 |
| Token No | SM/19-20/20358 27/03/2020 | Serial | 006 Last Visit: 26/12/2024 |
| Patient Name | Mr. AJAY LAHA | Contact No | 9903626339 |
| Address | 29A BARUI PARA LANE, SERAMPORE | Age | 58 Years,6 Months,23 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||