Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08108 | Date 18/04/2020 |
| Token No | SM/19-20/21306 18/04/2020 | Serial | 015 Last Visit: 25/11/2023 |
| Patient Name | Mrs. SHANTI DAS | Contact No | 9144842649 |
| Address | BAGERBAGAN CHATRA | Age | 44 Years,10 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||