Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00680 | Date 24/08/2018 |
| Token No | SM/19-20/13658 20/11/2019 | Serial | 067 Last Visit: 02/09/2024 |
| Patient Name | Mrs. RITA LAHIRI | Contact No | 8697076104 |
| Address | 10, DR. P.N. MUKHERJEE STREET | Age | 52 Years,8 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 88 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||