Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01843 | Date 01/11/2018 |
| Token No | SM/20-21/28218 08/12/2020 | Serial | 003 Last Visit: 05/01/2024 |
| Patient Name | Mrs. SANTI DEBI | Contact No | 9748572003 |
| Address | CHATRA DHARMA TALA | Age | 59 Years,0 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||