Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00721 | Date 27/08/2018 |
| Token No | SM/19-20/8200 09/08/2019 | Serial | 007 Last Visit: 03/11/2025 |
| Patient Name | Mrs. KANKAN LAHA | Contact No | 8420946887 |
| Address | 60 DUTTA PARA LANE | Age | 50 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||