Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02741 | Date 29/12/2018 |
| Token No | SM/19-20/21124 15/04/2020 | Serial | 008 Last Visit: 10/12/2025 |
| Patient Name | Mrs. JHARNA JALUI | Contact No | 8981194322 |
| Address | CHATRA PATI PARA , BAIDYABATI(M) | Age | 69 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||