Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03810 | Date 22/02/2019 |
| Token No | SM/19-20/14118 27/11/2019 | Serial | 027 Last Visit: 02/05/2022 |
| Patient Name | Miss RIMIKA MAITY | Contact No | 9339444474 |
| Address | SACHTASI PARA LANE , BAIDYABATI (M) | Age | 28+ YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||