Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04307 | Date 19/03/2019 |
| Token No | SM/18-19/10890 19/03/2019 | Serial | 083 Last Visit: 19/11/2025 |
| Patient Name | Mrs. RATNA MAJHI | Contact No | 9051843723 |
| Address | 58/1 CHATRA MANNA PARA , BAIDYABATI(M) | Age | 46 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||