Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11342 | Date 27/07/2022 |
| Token No | SM/22-23/15076 27/07/2022 | Serial | 013 Last Visit: 27/07/2022 |
| Patient Name | Mr. SUSANTA LAHA | Contact No | 7685844394 |
| Address | 97(36/5),D N MUKHARJEE ROAD,BAIDYABATI(M) | Age | 57 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 165 cm BMI: 20.202020 |
| Diagnosis | |||