Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00787 | Date 28/08/2018 |
| Token No | SM/18-19/4713 05/12/2018 | Serial | 037 Last Visit: 19/09/2022 |
| Patient Name | Mrs. PARUL KARAK | Contact No | 8481870261 |
| Address | 509 CHATRA G T ROADA JAL TANK , BAIDYA BATI(M) | Age | 85 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||