Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07882 | Date 21/03/2020 |
| Token No | SM/19-20/20073 21/03/2020 | Serial | 029 Last Visit: 05/10/2024 |
| Patient Name | Mrs. BULBULI PATRA | Contact No | 8583950826 |
| Address | 18 G. T. ROAD BAIDYABATI M | Age | 31 Years,4 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||