Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05534 | Date 24/06/2019 |
| Token No | SM/19-20/5154 24/06/2019 | Serial | 020 Last Visit: 24/06/2019 |
| Patient Name | Mrs. MANJU THAKUR | Contact No | 9088150512 |
| Address | BAGHER BAGAN,CHATRA,BAIDYABATI(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||