Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07523 | Date 12/02/2020 |
| Token No | SM/19-20/17959 12/02/2020 | Serial | 069 Last Visit: 06/03/2020 |
| Patient Name | Mrs. MANIKA RAY | Contact No | 8274894294 |
| Address | PURSHOTTAMPUR NASIBPUR | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/110 mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||