Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01686 | Date 26/10/2018 |
| Token No | SM/18-19/2926 26/10/2018 | Serial | 040 Last Visit: 26/10/2018 |
| Patient Name | Mrs. BABLI DEBI MAHATO | Contact No | 7596868187 |
| Address | CHATRA J M LEHIRI PARA LANE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||