Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03929 | Date 01/03/2019 |
| Token No | SM/18-19/9654 01/03/2019 | Serial | 029 Last Visit: 01/03/2019 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9051565117 |
| Address | 4 SIDYSWARYI LANE,CHATRA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||