Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05811 | Date 17/07/2019 |
| Token No | SM/19-20/19752 17/03/2020 | Serial | 011 Last Visit: 27/01/2024 |
| Patient Name | Mrs. MIRA DEVI | Contact No | 9784200991 |
| Address | CHATRA DHARMA TALA, | Age | 31 Years,0 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||