Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03270 | Date 01/02/2019 |
| Token No | SM/18-19/8197 07/02/2019 | Serial | 024 Last Visit: 02/09/2019 |
| Patient Name | Miss ISHIKA PAL | Contact No | 9831599305 |
| Address | 48 A.P GHOSH ROAD CHATRA | Age | 9 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||