Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02893 | Date 08/01/2019 |
| Token No | SM/18-19/6474 08/01/2019 | Serial | 028 Last Visit: 08/01/2019 |
| Patient Name | Mrs. MITHU PATRA | Contact No | 9903145433 |
| Address | CHATRA MANNA PARA,BAIDYABATY(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||