Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10999 | Date 12/05/2022 |
| Token No | SM/22-23/12387 12/05/2022 | Serial | 012 Last Visit: 14/05/2022 |
| Patient Name | Mr. SUBHAM LAHA | Contact No | 9123858057 |
| Address | 130/E BARUI PARA LANE | Age | 24 YRS Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 26.124949 |
| Diagnosis | |||