Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00653 | Date 23/08/2018 |
| Token No | SM/25-26/14450 27/08/2026 at 12:48 | Serial | 068 Last Visit: 27/08/2026 |
| Patient Name | Mrs. LATIKA DALAL | Contact No | 8697339708 |
| Address | 82, BARUI PARA CHATRA | Age | 57 Years,7 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 123/78 mmHg | Weight | 63.7 KG |
| Pulse Rate | / min | Height | 153.5 cm BMI: 27.034770 |
| Diagnosis | |||