Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02934 | Date 10/01/2019 |
| Token No | SM/18-19/6577 10/01/2019 | Serial | 004 Last Visit: 16/07/2025 |
| Patient Name | Mrs. ANITA LAHA | Contact No | 9007405530 |
| Address | 12 CHATRA,DUTTA PARA SERAMPORE | Age | 67 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||