Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00775 | Date 28/08/2018 |
| Token No | SM/25-26/15866 26/10/2026 at 12:02 | Serial | 045 Last Visit: 26/10/2026 |
| Patient Name | Mrs. DIPALI ASH | Contact No | 9836038633 |
| Address | 79 BARUI PARA CHATRA | Age | 56 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 20.000000 |
| Diagnosis | |||