Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00462 | Date 16/08/2018 |
| Token No | SM/18-19/6516 09/01/2019 | Serial | 005 Last Visit: 29/06/2024 |
| Patient Name | Mrs. SHIBANI LAHA | Contact No | |
| Address | CHATRA BARUI PARA SHIBTALA | Age | 83 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||