Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09579 | Date 04/05/2021 |
| Token No | SM/21-22/3812 06/08/2021 | Serial | 010 Last Visit: 28/09/2022 |
| Patient Name | Mrs. GARGI DAS | Contact No | 8697458074 |
| Address | 32 A.P.GHOSH ROAD,CHATRA | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||