Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00465 | Date 16/08/2018 |
| Token No | SM/18-19/521 16/08/2018 | Serial | 009 Last Visit: 16/08/2018 |
| Patient Name | Mr. MAHARSHI RAHA | Contact No | 9830525593 |
| Address | 32, BHADURI LANE CHATRA | Age | 8.4 Male |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 24 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||