Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00166 | Date 06/08/2018 |
| Token No | SM/18-19/7115 19/01/2019 | Serial | 048 Last Visit: 17/12/2025 |
| Patient Name | Mrs. JAMUNA PARUI | Contact No | 9062335537 |
| Address | CHATRA LANKAR BAGAN | Age | 57 Years,11 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||