Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00082 | Date 03/08/2018 |
| Token No | SM/19-20/760 11/04/2019 | Serial | 067 Last Visit: 23/05/2025 |
| Patient Name | Mrs. TANDRA DAS | Contact No | 9331692582 |
| Address | 29D, CHATRA DOLTALA | Age | 31 Years,4 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||