Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00646 | Date 23/08/2018 |
| Token No | SM/18-19/1076 30/08/2018 | Serial | 030 Last Visit: 19/11/2024 |
| Patient Name | Mrs. LAKHI DALAL | Contact No | 8100637697 |
| Address | 81 BARUI PARA CHATRA | Age | 50 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||