Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06327 | Date 03/09/2019 |
| Token No | SM/19-20/9763 03/09/2019 | Serial | 074 Last Visit: 17/11/2025 |
| Patient Name | Mrs. CHANDANA DHENKI | Contact No | 9433217482 |
| Address | 62/25 SACHTASHI PARA LANKAR BAGAN , BAIDYBATI(M) | Age | 47 Years,8 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||