Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01550 | Date 06/10/2018 |
| Token No | SM/18-19/9299 22/02/2019 | Serial | 076 Last Visit: 30/12/2024 |
| Patient Name | Mrs. KOROBI BISWASH | Contact No | 7278469861 |
| Address | 57/ M C GT ROAD,POMPA NAGAR | Age | 35 Years,11 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||