Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03035 | Date 17/01/2019 |
| Token No | SM/19-20/15074 11/12/2019 | Serial | 053 Last Visit: 06/01/2021 |
| Patient Name | Mrs. MANCHALA JHA | Contact No | 9681059453 |
| Address | N.N RAY STREET | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||