Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06079 | Date 07/08/2019 |
| Token No | SM/19-20/8108 07/08/2019 | Serial | 051 Last Visit: 07/08/2019 |
| Patient Name | Mrs. RIKTA MUKHERJEE | Contact No | 9123061540 |
| Address | 5 KM MUKHERJEE STREET (MATHURA APPARTMENT, FLAT NO-102 ) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||