Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00541 | Date 18/08/2018 |
| Token No | SM/19-20/12348 24/10/2019 | Serial | 023 Last Visit: 07/10/2023 |
| Patient Name | Mrs. SABITA CHATERJEE | Contact No | 9903745925 |
| Address | 1/D DUTTA PARA LANE , CHATRA | Age | 62 Years,9 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||