Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00504 | Date 17/08/2018 |
| Token No | SM/19-20/11765 15/10/2019 | Serial | 043 Last Visit: 13/10/2025 |
| Patient Name | Mrs. MAYA BAG | Contact No | 9088028443 |
| Address | 31A, DAKSHIN BHATTACHARYA PARA,CHATRA | Age | 78 Years,9 Months,11 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||