Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00306 | Date 10/08/2018 |
| Token No | SM/19-20/25101 24/08/2020 | Serial | 043 Last Visit: 29/05/2024 |
| Patient Name | Mrs. SOVA PAL | Contact No | |
| Address | 38, KUMAR PARA CHATRA | Age | 73 Years,4 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||