Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02238 | Date 30/11/2018 |
| Token No | SM/18-19/4438 30/11/2018 | Serial | 027 Last Visit: 22/12/2023 |
| Patient Name | Mrs. JHUMA DAS | Contact No | 9874647784 |
| Address | 29 CHATRA CHOWDHURY PARA | Age | 38 Years,11 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||