Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01494 | Date 04/10/2018 |
| Token No | SM/19-20/9580 31/08/2019 | Serial | 061 Last Visit: 02/04/2024 |
| Patient Name | Mrs. DALIYA LAHA | Contact No | 26524046 |
| Address | 34, CHATRA BARUI PARA LANE | Age | 43 Years,4 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||