Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00876 | Date 01/09/2018 |
| Token No | SM/18-19/1137 01/09/2018 | Serial | 011 Last Visit: 11/07/2020 |
| Patient Name | Mrs. TANDRA PAL | Contact No | 9163098902 |
| Address | 102 A P GHOSH ROAD,CHATRA | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/72 mmHg | Weight | 60 KG |
| Pulse Rate | 63 / min | Height | cm BMI: inf |
| Diagnosis | |||