Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05435 | Date 14/06/2019 |
| Token No | SM/19-20/9053 24/08/2019 | Serial | 030 Last Visit: 06/11/2025 |
| Patient Name | Mrs. ANJANA DAS | Contact No | 8481078062 |
| Address | 1/7 BHADURI PARA LANE | Age | 44 Years,10 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||