Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09290 | Date 05/03/2021 |
| Token No | SM/22-23/18605 06/12/2022 | Serial | 006 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 | 70 KG |
| Pulse Rate | / min | Height | 158.8 cm BMI: 27.758567 |
| Diagnosis | |||