Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05995 | Date 29/07/2019 |
| Token No | SM/19-20/7526 29/07/2019 | Serial | 062 Last Visit: 29/07/2019 |
| Patient Name | Mr. MITHU LAHA | Contact No | 9088269321 |
| Address | 130/E CHATRA BARUI PARA SERAMPORE | Age | 43 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||