Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04054 | Date 07/03/2019 |
| Token No | SM/18-19/10031 07/03/2019 | Serial | 034 Last Visit: 07/03/2019 |
| Patient Name | Mrs. BABITA LAHA | Contact No | 9007649534 |
| Address | CHATRA BARUI PARA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||