Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07893 | Date 23/03/2020 |
| Token No | SM/21-22/1434 17/05/2021 | Serial | 019 Last Visit: 03/07/2021 |
| Patient Name | Miss RUPALI MALIK | Contact No | |
| Address | 39 A. P. GHOSH ROAD, | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||