Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01081 | Date 12/09/2018 |
| Token No | SM/18-19/8475 12/02/2019 | Serial | 079 Last Visit: 25/10/2021 |
| Patient Name | Mrs. MITHU PAL | Contact No | 8017570530 |
| Address | 10,CHATRA BAZAR ROAD | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||