Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00439 | Date 14/08/2018 |
| Token No | SM/18-19/9197 21/02/2019 | Serial | 059 Last Visit: 28/05/2024 |
| Patient Name | Mrs. KANIKA PAL | Contact No | 8017542170 |
| Address | 84B, BARUIPARA LANE, CHATRA | Age | 37 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||