Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01067 | Date 12/09/2018 |
| Token No | SM/18-19/1551 12/09/2018 | Serial | 017 Last Visit: 05/03/2025 |
| Patient Name | Mrs. JYOTSNA BIBI | Contact No | 9051724415 |
| Address | 28/A CHATRA BAZAR ROAD | Age | 42 Years,2 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 127/67 mmHg | Weight | 63 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||