Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03819 | Date 23/02/2019 |
| Token No | SM/18-19/11039 23/03/2019 | Serial | 043 Last Visit: 02/12/2023 |
| Patient Name | Mrs. KANIKA SOM | Contact No | 9903530583 |
| Address | 127/A CHATRA BARUI PARA | Age | 83 Years,4 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||