Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00886 | Date 04/09/2018 |
| Token No | SM/18-19/1168 04/09/2018 | Serial | 004 Last Visit: 03/05/2024 |
| Patient Name | Mrs. SHAMPA SOM | Contact No | 9836074282 |
| Address | 17/D DUTTA PARA LANE CHATRA | Age | 43 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||