Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09346 | Date 19/03/2021 |
| Token No | SM/20-21/30908 19/03/2021 | Serial | 017 Last Visit: 24/07/2024 |
| Patient Name | Mrs. CHANDANA MISHRA | Contact No | 9143342336 |
| Address | 4 G.T. ROAD KUMAR BAGAN BAIDYABATI M | Age | 55 Years,9 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||