Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00121 | Date 04/08/2018 |
| Token No | SM/18-19/391 11/08/2018 | Serial | 023 Last Visit: 06/12/2025 |
| Patient Name | Mrs. UMA BARIK | Contact No | 8420925894 |
| Address | 56 CHATRA DUTTA PARA SERAMPORE | Age | 59 Years,11 Months,4 Days Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 116/66 mmHg | Weight | 75 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||