Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07504 | Date 08/02/2020 |
| Token No | SM/19-20/17823 08/02/2020 | Serial | 044 Last Visit: 30/06/2022 |
| Patient Name | Mrs. SWAPNA SOM | Contact No | 9831263212 |
| Address | 37/L CHATRA DHARMATALA LANE | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||