Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02114 | Date 24/11/2018 |
| Token No | SM/19-20/1631 25/04/2019 | Serial | 017 Last Visit: 15/02/2024 |
| Patient Name | Mrs. ANJANA CHAKRABORTY | Contact No | 9874723211 |
| Address | 2/A LAHIRA PARA LANE CHATRA | Age | 53 Years,1 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||