Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00767 | Date 28/08/2018 |
| Token No | SM/21-22/3243 16/07/2021 | Serial | 029 Last Visit: 20/10/2023 |
| Patient Name | Mrs. SWASTIKA GHOSH | Contact No | 9836908394 |
| Address | 1 CHAPATALA LANE, CHATRA | Age | 52 Years,9 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||