Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00264 | Date 09/08/2018 |
| Token No | SM/18-19/283 09/08/2018 | Serial | 014 Last Visit: 15/12/2020 |
| Patient Name | Mrs. KABITA PAL | Contact No | 9007666856 |
| Address | 14, CHATRA BARUI PARA | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 118/79 mmHg | Weight | 54 KG |
| Pulse Rate | 98 / min | Height | cm BMI: inf |
| Diagnosis | |||