Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00175 | Date 06/08/2018 |
| Token No | SM/18-19/5821 27/12/2018 | Serial | 079 Last Visit: 02/05/2024 |
| Patient Name | Mrs. ANJUMAN | Contact No | 9007517192 |
| Address | CHATRA BHADURI PARA | Age | 37 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||