Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00082 | Date 03/08/2018 |
| Token No | SM/18-19/82 03/08/2018 | Serial | 014 Last Visit: 23/05/2025 |
| Patient Name | Mrs. TANDRA DAS | Contact No | 9331692582 |
| Address | 29D, CHATRA DOLTALA | Age | 31 Years,4 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 107/76 mmHg | Weight | 57 KG |
| Pulse Rate | 76 / min | Height | cm BMI: inf |
| Diagnosis | |||