Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02681 | Date 24/12/2018 |
| Token No | SM/19-20/5507 28/06/2019 | Serial | 011 Last Visit: 07/02/2024 |
| Patient Name | Mrs. SIKHA SOM | Contact No | 9007482437 |
| Address | 17, CHATRA DUTTAS LANE | Age | 55 Years,1 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||