Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10024 | Date 01/09/2021 |
| Token No | SM/21-22/4636 01/09/2021 | Serial | 034 Last Visit: 01/07/2024 |
| Patient Name | Mrs. PRATIMA PARUI | Contact No | |
| Address | 5,SUDHIR CHANDRA ROY LANE CHATRA | Age | 61 Years,6 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||