Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03362 | Date 04/02/2019 |
| Token No | SM/18-19/8770 15/02/2019 | Serial | 058 Last Visit: 17/05/2023 |
| Patient Name | Mrs. RUPA SOM | Contact No | 8478902520 |
| Address | CHATRA BARUI PARA | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||