Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02396 | Date 07/12/2018 |
| Token No | SM/18-19/5705 24/12/2018 | Serial | 028 Last Visit: 02/05/2024 |
| Patient Name | Mrs. MOLINA MONDAL | Contact No | 9051799705 |
| Address | 79A A.P GHOSH ROAD CHATRA | Age | 76 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||