Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01150 | Date 14/09/2018 |
| Token No | SM/19-20/16952 20/01/2020 | Serial | 065 Last Visit: 18/11/2024 |
| Patient Name | Mrs. KEYA KARMAKAR | Contact No | 9088570060 |
| Address | 1/B DUTTA PARA LANE, CHATRA | Age | 43 Years,10 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||