Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00365 | Date 11/08/2018 |
| Token No | SM/21-22/4781 06/09/2021 | Serial | 013 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SANDHYA RAY | Contact No | 7890914797 |
| Address | 7 LEHIRI PARA LANE,CHATRA | Age | 55 Years,11 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||