Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03471 | Date 08/02/2019 |
| Token No | SM/18-19/8696 14/02/2019 | Serial | 061 Last Visit: 03/10/2020 |
| Patient Name | Miss DEBJANI NAG | Contact No | 7998761468 |
| Address | 54 A P GHOSH ROAD ,CHATRA | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||