Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00426 | Date 14/08/2018 |
| Token No | SM/18-19/1245 05/09/2018 | Serial | 021 Last Visit: 06/08/2022 |
| Patient Name | Mrs. RADHARANI LAHA | Contact No | 9051061867 |
| Address | 6B, JAGAMOHAN LAHIRI LANE | Age | 77YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 143/108 mmHg | Weight | 54.5 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||