Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05725 | Date 10/07/2019 |
| Token No | SM/19-20/6228 10/07/2019 | Serial | 096 Last Visit: 30/09/2021 |
| Patient Name | Mr. PRABHAS LAHA | Contact No | 9330021570 |
| Address | CHATRA BARUI PARA LANE SERAMPORE(M) | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||