Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06913 | Date 19/11/2019 |
| Token No | SM/19-20/13563 19/11/2019 | Serial | 060 Last Visit: 26/07/2025 |
| Patient Name | Miss DEBOSHREE MONDAL | Contact No | 9051799705 |
| Address | 79/A A. P. GHOSH ROAD,CHATRA, | Age | 37 Years,6 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||