Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03334 | Date 02/02/2019 |
| Token No | SM/20-21/30382 05/03/2021 | Serial | 004 Last Visit: 04/06/2024 |
| Patient Name | Mr. ANIRBAN LAHA | Contact No | 8240627475 |
| Address | 13/C CHATRA DUTTA PARA | Age | 30 Years,5 Months,2 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||