Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00243 | Date 08/08/2018 |
| Token No | SM/18-19/1529 11/09/2018 | Serial | 059 Last Visit: 06/12/2025 |
| Patient Name | Mrs. MIRA DHENKI | Contact No | 9674271167 |
| Address | 45, A.P. GHOSH ROAD (M-7890566942) | Age | 57 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 109/60 mmHg | Weight | 52 KG |
| Pulse Rate | 84 / min | Height | cm BMI: inf |
| Diagnosis | |||