Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05751 | Date 13/07/2019 |
| Token No | SM/20-21/28458 15/12/2020 | Serial | 038 Last Visit: 02/08/2024 |
| Patient Name | Mrs. MITA MALIK | Contact No | 9062747919 |
| Address | 59/B DHARMATALA LANE,CHATRA | Age | 24 Years,7 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||