Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07946 | Date 27/03/2020 |
| Token No | SM/21-22/9927 16/02/2022 | Serial | 013 Last Visit: 30/06/2022 |
| Patient Name | Miss MOULISY PAL | Contact No | 9163459424 |
| Address | 14 BARUIPARA LANE,CHATRA | Age | 16YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 17.981667 |
| Diagnosis | |||