Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11891 | Date 28/01/2023 |
| Token No | SM/22-23/20059 28/01/2023 | Serial | 007 Last Visit: 28/01/2023 |
| Patient Name | Mrs. BASANTI PARUI | Contact No | 7044769422 |
| Address | 4 SUDHIR CHANDRA LANE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||