Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03463 | Date 08/02/2019 |
| Token No | SM/18-19/8313 08/02/2019 | Serial | 039 Last Visit: 12/04/2024 |
| Patient Name | Mrs. PAMELI ADHIKARY | Contact No | 8617748907 |
| Address | 13/2 CHATRA,CHOWDHURI PARA LANE | Age | 53 Years,8 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||