Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01891 | Date 05/11/2018 |
| Token No | SM/19-20/23812 06/07/2020 | Serial | 054 Last Visit: 21/11/2024 |
| Patient Name | Mr. RANJAN LAHA | Contact No | 9831878648 |
| Address | 101/B BARUI PARA LANE | Age | 54 Years,10 Months,20 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||