Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07390 | Date 21/01/2020 |
| Token No | SM/19-20/17016 21/01/2020 | Serial | 060 Last Visit: 21/01/2020 |
| Patient Name | Miss MIMI JOSHAL | Contact No | 9874255679 |
| Address | 32 BHADURI LANE,CHATRA | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||