Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03590 | Date 15/02/2019 |
| Token No | SM/18-19/8726 15/02/2019 | Serial | 014 Last Visit: 15/02/2019 |
| Patient Name | Mrs. PRAVHATI DEBI | Contact No | 9883354970 |
| Address | RISHRA | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||