Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06618 | Date 14/10/2019 |
| Token No | SM/19-20/11641 14/10/2019 | Serial | 035 Last Visit: 17/02/2020 |
| Patient Name | Mrs. SABARI PAUL | Contact No | 9830562579 |
| Address | 9C DHARMATALA LANE,CHATRA, | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||