Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05558 | Date 25/06/2019 |
| Token No | SM/19-20/9733 03/09/2019 | Serial | 044 Last Visit: 10/08/2021 |
| Patient Name | Miss PRIYANKA MALIK | Contact No | 8334955542 |
| Address | 4 BHADURI PARA LANE CHATRA SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||