Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02583 | Date 18/12/2018 |
| Token No | SM/19-20/17779 07/02/2020 | Serial | 052 Last Visit: 05/01/2024 |
| Patient Name | Mrs. PRIYANKA BARIK | Contact No | 9051384688 |
| Address | 23 CHATRA SATCHASI PARA | Age | 28 Years,0 Months,4 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||