Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11063 | Date 27/05/2022 |
| Token No | SM/22-23/13344 08/06/2022 | Serial | 034 Last Visit: 08/06/2022 |
| Patient Name | Mr. ASHOK LAHA | Contact No | 9836707969 |
| Address | 72 AP GHOSH ROAD SERAMPORE | Age | 64 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 20.581425 |
| Diagnosis | |||