Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00277 | Date 09/08/2018 |
| Token No | SM/18-19/3864 19/11/2018 | Serial | 031 Last Visit: 08/12/2025 |
| Patient Name | Mrs. CHHAYA DAS | Contact No | 7890568570 |
| Address | 37 CHATRA DAS PARA HARI CHARAN ROAD | Age | 51 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||