Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04149 | Date 11/03/2019 |
| Token No | SM/18-19/10332 11/03/2019 | Serial | 041 Last Visit: 12/02/2025 |
| Patient Name | Mrs. PARTHANA NAYAK | Contact No | 9883851657 |
| Address | 86/35 SACHTASI PARA CHATRA , BAIDYABATI(M) | Age | 57 Years,1 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||