Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06006 | Date 30/07/2019 |
| Token No | SM/19-20/7579 30/07/2019 | Serial | 028 Last Visit: 02/09/2024 |
| Patient Name | Mr. CHITRASEN LAHIRI | Contact No | 9874865173 |
| Address | 10 DR PN MUKHERJEE STREET SERAMPORE | Age | 68 Years,9 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||