Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02483 | Date 12/12/2018 |
| Token No | SM/19-20/13888 23/11/2019 | Serial | 083 Last Visit: 04/11/2023 |
| Patient Name | Miss SUPARNA DAS | Contact No | 8420785894 |
| Address | CHATRA BARUI PARA | Age | 7 Years,6 Months,28 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||