Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00426 | Date 14/08/2018 |
| Token No | SM/18-19/9120 20/02/2019 | Serial | 058 Last Visit: 06/08/2022 |
| Patient Name | Mrs. RADHARANI LAHA | Contact No | 9051061867 |
| Address | 6B, JAGAMOHAN LAHIRI LANE | Age | 77YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||