Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00240 | Date 08/08/2018 |
| Token No | SM/19-20/13078 13/11/2019 | Serial | 005 Last Visit: 04/08/2025 |
| Patient Name | Mrs. RAJARSHREE CHAKRABORTY | Contact No | 9748754439 |
| Address | 164/2, R.K. ROAD, CHATRA | Age | 50 Years,7 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||