Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00462 | Date 16/08/2018 |
| Token No | SM/21-22/1636 24/05/2021 | Serial | 014 Last Visit: 29/06/2024 |
| Patient Name | Mrs. SHIBANI LAHA | Contact No | |
| Address | CHATRA BARUI PARA SHIBTALA | Age | 83 Years,5 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||