Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06861 | Date 14/11/2019 |
| Token No | SM/19-20/20878 08/04/2020 | Serial | 002 Last Visit: 25/11/2021 |
| Patient Name | Mr. BHASKAR LAHIRI | Contact No | 9051761860 |
| Address | 5 P.N MUKHERJEE STREET , SERAMPORE(M) | Age | 50 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||