Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00566 | Date 20/08/2018 |
| Token No | SM/19-20/14536 03/12/2019 | Serial | 019 Last Visit: 21/06/2022 |
| Patient Name | Mrs. MANORAMA DUTTA | Contact No | 6289567381 |
| Address | 67A BARUI PARA LANE , CHATRA | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||