Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10057 | Date 07/09/2021 |
| Token No | SM/21-22/4848 07/09/2021 | Serial | 025 Last Visit: 07/09/2021 |
| Patient Name | Mr. AKASH LAHA | Contact No | 8910421925 |
| Address | 6/B JOGOMOHAN LAHIRI LANE SERAMPORE | Age | 20 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||