Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06309 | Date 02/09/2019 |
| Token No | SM/19-20/16243 06/01/2020 | Serial | 039 Last Visit: 22/02/2025 |
| Patient Name | Mrs. RUPALI DAS | Contact No | 9748995906 |
| Address | 8/3 HARIJAN ROAD CHATRA LANKAR BAGAN | Age | 68 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||