Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00601 | Date 21/08/2018 |
| Token No | SM/22-23/18648 07/12/2022 | Serial | 010 Last Visit: 15/09/2025 |
| Patient Name | Mrs. LALITA KAR | Contact No | 8697437631 |
| Address | 8, LAHIRA PARA LANE CHATRA | Age | 64 Years,8 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||