Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00025 | Date 01/08/2018 |
| Token No | SM/22-23/22449 27/06/2023 | Serial | 012 Last Visit: 22/05/2025 |
| Patient Name | Mrs. PIKA DUTTA | Contact No | 9239143288 |
| Address | BARUIPARA LANE, CHATRA | Age | 42 Years,4 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||