Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00767 | Date 28/08/2018 |
| Token No | SM/18-19/1632 13/09/2018 | Serial | 055 Last Visit: 20/10/2023 |
| Patient Name | Mrs. SWASTIKA GHOSH | Contact No | 9836908394 |
| Address | 1 CHAPATALA LANE, CHATRA | Age | 52 Years,9 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 131/78 mmHg | Weight | 89 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||