Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00504 | Date 17/08/2018 |
| Token No | SM/25-26/6942 13/10/2025 | Serial | 029 Last Visit: 13/10/2025 |
| Patient Name | Mrs. MAYA BAG | Contact No | 9088028443 |
| Address | 31A, DAKSHIN BHATTACHARYA PARA,CHATRA | Age | 78 Years,9 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 22.673423 |
| Diagnosis | |||