Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01815 | Date 01/11/2018 |
| Token No | SM/18-19/3261 01/11/2018 | Serial | 010 Last Visit: 14/11/2025 |
| Patient Name | Mrs. ANJANA PAL | Contact No | 9163679550 |
| Address | 51, CHATRA DHARMOTALA | Age | 54 Years,7 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||