Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02315 | Date 03/12/2018 |
| Token No | SM/19-20/7544 29/07/2019 | Serial | 080 Last Visit: 29/11/2024 |
| Patient Name | Mrs. SRABANI KHAN | Contact No | 7685844149 |
| Address | 39 A/4 CHATRA BARUI PARA | Age | 43 Years,10 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||