Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00504 | Date 17/08/2018 |
| Token No | SM/18-19/4565 03/12/2018 | Serial | 031 Last Visit: 13/10/2025 |
| Patient Name | Mrs. MAYA BAG | Contact No | 9088028443 |
| Address | 31A, DAKSHIN BHATTACHARYA PARA,CHATRA | Age | 78 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||