Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00062 | Date 02/08/2018 |
| Token No | SM/21-22/2461 23/06/2021 | Serial | 015 Last Visit: 04/12/2025 |
| Patient Name | Mrs. SANDHYA KARMAKAR | Contact No | 9088570060 |
| Address | 1/B DUTTA PARA LANE, CHATRA | Age | 52 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||