Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01928 | Date 12/11/2018 |
| Token No | SM/21-22/10305 28/02/2022 | Serial | 011 Last Visit: 19/11/2025 |
| Patient Name | Mrs. RUNU LAHA | Contact No | 8621050595 |
| Address | 130/B CHATRA BARUI PARA LANE | Age | 66 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||