Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03824 | Date 23/02/2019 |
| Token No | SM/18-19/9338 23/02/2019 | Serial | 024 Last Visit: 23/02/2019 |
| Patient Name | Miss BRISHTI MUKHERJEE | Contact No | 26527262 |
| Address | 104 A P GHOSH ROAD,CHATRA | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||