Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09371 | Date 20/03/2021 |
| Token No | SM/21-22/4085 16/08/2021 | Serial | 009 Last Visit: 28/03/2025 |
| Patient Name | Mrs. KEKA DAS | Contact No | 8585818392 |
| Address | 7 CHATRA DUTTAPARA LANE | Age | 47 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||