Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01867 | Date 02/11/2018 |
| Token No | SM/18-19/3380 02/11/2018 | Serial | 064 Last Visit: 28/05/2025 |
| Patient Name | Miss TRISHA PAL | Contact No | 9163679550 |
| Address | 51 CHATRA DHARMOTALA LANE | Age | 21 Years,5 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||