Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00193 | Date 07/08/2018 |
| Token No | SM/18-19/5417 18/12/2018 | Serial | 026 Last Visit: 21/04/2023 |
| Patient Name | Mrs. ANITA BANERJEE | Contact No | 6289404822 |
| Address | 13A/1 DUTTAS LANE, CHATRA | Age | 36 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||