Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01927 | Date 12/11/2018 |
| Token No | SM/18-19/3551 12/11/2018 | Serial | 029 Last Visit: 28/05/2025 |
| Patient Name | Mrs. RAMA LAHA | Contact No | 9432766350 |
| Address | 34 CHATRA BARUI PARA LANE SERAMPORE | Age | 43 Years,1 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||