Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07840 | Date 18/03/2020 |
| Token No | SM/22-23/22871 14/07/2023 | Serial | 005 Last Visit: 25/11/2023 |
| Patient Name | Miss PRITHA DALAL | Contact No | 8240631325 |
| Address | 82 CHATRA BARUIPARA ,CHATRA | Age | 23 Years,10 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||