Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04149 | Date 11/03/2019 |
| Token No | SM/21-22/5819 07/10/2021 | Serial | 002 Last Visit: 12/02/2025 |
| Patient Name | Mrs. PARTHANA NAYAK | Contact No | 9883851657 |
| Address | 86/35 SACHTASI PARA CHATRA , BAIDYABATI(M) | Age | 57 Years,1 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||