Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05808 | Date 17/07/2019 |
| Token No | SM/22-23/21723 19/05/2023 | Serial | 004 Last Visit: 19/05/2023 |
| Patient Name | Miss PUJA GHOSH | Contact No | 6291782564 |
| Address | 24 P N MUKHERJEE ,CHATRA | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||