Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02881 | Date 07/01/2019 |
| Token No | SM/19-20/6625 16/07/2019 | Serial | 073 Last Visit: 05/07/2021 |
| Patient Name | Mrs. REKHA MALIK | Contact No | 9007653367 |
| Address | CHATRA DUTTA PARA | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||