Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01059 | Date 11/09/2018 |
| Token No | SM/18-19/1532 11/09/2018 | Serial | 062 Last Visit: 07/01/2019 |
| Patient Name | Mrs. JHARNA AHIR | Contact No | 9883621681 |
| Address | 7, DR P.N MUKHERJEE STREET | Age | 38.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/70 mmHg | Weight | 45 KG |
| Pulse Rate | 81 / min | Height | cm BMI: inf |
| Diagnosis | |||