Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00627 | Date 23/08/2018 |
| Token No | SM/22-23/23688 19/08/2023 | Serial | 024 Last Visit: 15/09/2025 |
| Patient Name | Miss SHREYASI PAL | Contact No | 8981378272 |
| Address | 10/A KUMOR PARA LANE , CHATRA | Age | 23 Years,5 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||