Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03887 | Date 27/02/2019 |
| Token No | SM/18-19/9517 27/02/2019 | Serial | 006 Last Visit: 24/09/2019 |
| Patient Name | Miss RIMIKA PATRA | Contact No | 7059052619 |
| Address | A.P GHOSH ROAD | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||