Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00617 | Date 21/08/2018 |
| Token No | SM/21-22/7000 22/11/2021 | Serial | 040 Last Visit: 03/12/2025 |
| Patient Name | Mrs. BHARTI SOM | Contact No | 9874568072 |
| Address | 120, CHATRA BARUI PARA | Age | 72 Years,11 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||