Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00918 | Date 05/09/2018 |
| Token No | SM/19-20/4428 12/06/2019 | Serial | 027 Last Visit: 27/01/2025 |
| Patient Name | Miss SWETA KUMARI | Contact No | 9831310175 |
| Address | 13 DR PN MUKHERJEE STREET | Age | 17 Years,8 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 22 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||