Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00378 | Date 13/08/2018 |
| Token No | SM/20-21/29761 25/01/2021 | Serial | 045 Last Visit: 27/11/2025 |
| Patient Name | Mrs. KAJAL CHINYA | Contact No | 9674530065 |
| Address | 34, CHATRA BAZAR ROAD | Age | 59 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||