Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09414 | Date 01/04/2021 |
| Token No | SM/20-21/31339 31/03/2021 | Serial | 023 Last Visit: 01/04/2021 |
| Patient Name | Mrs. JHARNA DEBNATH | Contact No | 8420856264 |
| Address | 515,G.T ROAD,BAIDYABATI,CHATRA | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||