Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00243 | Date 08/08/2018 |
| Token No | SM/19-20/533 08/04/2019 | Serial | 097 Last Visit: 06/12/2025 |
| Patient Name | Mrs. MIRA DHENKI | Contact No | 9674271167 |
| Address | 45, A.P. GHOSH ROAD (M-7890566942) | Age | 57 Years,11 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||