Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02372 | Date 06/12/2018 |
| Token No | SM/18-19/8424 12/02/2019 | Serial | 028 Last Visit: 13/07/2019 |
| Patient Name | Mrs. NAMITA MAITY | Contact No | 8017231081 |
| Address | CHATRA MANNA PARA , BAIDYABATI (M) | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||