Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00536 | Date 18/08/2018 |
| Token No | SM/18-19/3158 30/10/2018 | Serial | 029 Last Visit: 30/10/2018 |
| Patient Name | Mrs. MADHOBI DUTTA | Contact No | 9830279455 |
| Address | 93B BARUI PARA , CHATRA | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||