Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00258 | Date 09/08/2018 |
| Token No | SM/19-20/9265 27/08/2019 | Serial | 073 Last Visit: 04/07/2024 |
| Patient Name | Mrs. SUKHIYA DAS | Contact No | |
| Address | 18, RAJA K.L GOSWAMI STREET , CHATRA | Age | 36 Years,6 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||