Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03311 | Date 02/02/2019 |
| Token No | SM/18-19/7849 02/02/2019 | Serial | 038 Last Visit: 02/02/2019 |
| Patient Name | Mrs. PUJA DOM | Contact No | |
| Address | A P GHOSH ROAD,CHATRA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||