Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01905 | Date 05/11/2018 |
| Token No | SM/20-21/30795 16/03/2021 | Serial | 033 Last Visit: 12/05/2025 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 8017285654 |
| Address | LONKARBAGAN, CHATRA, BAIDYABATI M | Age | 60 Years,4 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||