Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01940 | Date 12/11/2018 |
| Token No | SM/19-20/3865 01/06/2019 | Serial | 066 Last Visit: 12/03/2024 |
| Patient Name | Mrs. MAYA DAS | Contact No | 9477455580 |
| Address | A P GHOSH ROAD,CHATRA | Age | 57 Years,2 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||