Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02391 | Date 07/12/2018 |
| Token No | SM/18-19/4833 07/12/2018 | Serial | 027 Last Visit: 17/02/2025 |
| Patient Name | Mrs. ASIMA DAS | Contact No | 9831853806 |
| Address | 31 DHARMATALA LANE | Age | 54 Years,1 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||