Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09290 | Date 05/03/2021 |
| Token No | SM/21-22/6871 16/11/2021 | Serial | 039 Last Visit: 06/12/2022 |
| Patient Name | Mr. ASIS LAHA | Contact No | 9674165643 |
| Address | 6/B JAGAMAHON LAHIRI LANE,CHATRA | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||