Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00499 | Date 17/08/2018 |
| Token No | SM/19-20/1031 17/04/2019 | Serial | 038 Last Visit: 27/09/2019 |
| Patient Name | Mrs. BHARATI MITRA | Contact No | 8017653086 |
| Address | 32/A, BHADURI LANE, CHATRA | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||