Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00785 | Date 28/08/2018 |
| Token No | SM/18-19/10893 19/03/2019 | Serial | 086 Last Visit: 23/12/2023 |
| Patient Name | Mrs. CHHAYA DAS | Contact No | 9874878726 |
| Address | 10/B DUTTA PARA CHATRA | Age | 70 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||