Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00471 | Date 16/08/2018 |
| Token No | SM/18-19/3587 12/11/2018 | Serial | 065 Last Visit: 18/11/2021 |
| Patient Name | Mrs. JAYA PAL | Contact No | 8335860750 |
| Address | 31 BHADURI LANE , CHATRA | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||