Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00420 | Date 14/08/2018 |
| Token No | SM/18-19/10874 19/03/2019 | Serial | 067 Last Visit: 10/12/2025 |
| Patient Name | Mrs. JHARNA MANNA | Contact No | 9874424272 |
| Address | 2, CHATRA BAZAR ROAD | Age | 53 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||