Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09262 | Date 02/03/2021 |
| Token No | SM/20-21/30258 02/03/2021 | Serial | 021 Last Visit: 02/03/2021 |
| Patient Name | Miss KAMALIKA PAL | Contact No | 9051063035 |
| Address | 84/B CHATRA BARUI PARA, | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||