Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00175 | Date 06/08/2018 |
| Token No | SM/19-20/10246 12/09/2019 | Serial | 064 Last Visit: 02/05/2024 |
| Patient Name | Mrs. ANJUMAN | Contact No | 9007517192 |
| Address | CHATRA BHADURI PARA | Age | 37 Years,4 Months,0 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||