Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00090 | Date 03/08/2018 |
| Token No | SM/18-19/6116 02/01/2019 | Serial | 025 Last Visit: 16/01/2024 |
| Patient Name | Mrs. ANNOPURNA DUTTA | Contact No | |
| Address | 55, CHATRA BARUI PARA | Age | 68 Years,0 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||