Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07893 | Date 23/03/2020 |
| Token No | SM/19-20/20132 23/03/2020 | Serial | 027 Last Visit: 03/07/2021 |
| Patient Name | Miss RUPALI MALIK | Contact No | |
| Address | 39 A. P. GHOSH ROAD, | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 28 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||