Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01103 | Date 13/09/2018 |
| Token No | SM/18-19/1609 13/09/2018 | Serial | 032 Last Visit: 08/12/2025 |
| Patient Name | Mrs. CHANDRA LAHA | Contact No | 8013289311 |
| Address | 13/C CHATRA DUTTA PARA LANE | Age | 64 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||