Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01689 | Date 26/10/2018 |
| Token No | SM/19-20/24062 13/07/2020 | Serial | 032 Last Visit: 27/01/2024 |
| Patient Name | Miss PRIYA DAS | Contact No | 9038485220 |
| Address | CHATRA SACHTASI PARA BAIDYABATI(M) | Age | 19 Years,0 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||