Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05899 | Date 23/07/2019 |
| Token No | SM/19-20/7100 23/07/2019 | Serial | 038 Last Visit: 12/03/2022 |
| Patient Name | Mrs. KARUNA MALIK | Contact No | 8335924142 |
| Address | 4 BHADURI PARA LANE CHATRA SERAMPORE | Age | 39 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||