Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02684 | Date 27/12/2018 |
| Token No | SM/19-20/16329 07/01/2020 | Serial | 037 Last Visit: 08/11/2025 |
| Patient Name | Mrs. SUMITA SHARMA | Contact No | 7003311250 |
| Address | 11 DR. P.N MUKHERJEE STREET | Age | 38 Years,10 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||