Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02877 | Date 07/01/2019 |
| Token No | SM/19-20/25554 08/09/2020 | Serial | 068 Last Visit: 27/11/2025 |
| Patient Name | Mr. PRADIP LAHA | Contact No | 9432766350 |
| Address | 34 CHATRA BARUI PARA LANE,SERAMPORE | Age | 59 Years,10 Months,25 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||