Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08495 | Date 07/07/2020 |
| Token No | SM/19-20/24290 21/07/2020 | Serial | 005 Last Visit: 28/07/2023 |
| Patient Name | Mrs. PUSPA RANI SOM | Contact No | 9088149105 |
| Address | 17 A. DUTTA LANE,CHATRA | Age | 59 Years,6 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||