Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03318 | Date 02/02/2019 |
| Token No | SM/25-26/15862 26/10/2026 at 11:47 | Serial | 041 Last Visit: 26/10/2026 |
| Patient Name | Mrs. SAMA DAS | Contact No | 7595918134 |
| Address | BHADURI PARA,CHATRA | Age | 80 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.2 KG |
| Pulse Rate | / min | Height | 149.2 cm BMI: 20.754120 |
| Diagnosis | |||