Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00426 | Date 14/08/2018 |
| Token No | SM/19-20/1684 25/04/2019 | Serial | 070 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 | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||