Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05543 | Date 24/06/2019 |
| Token No | SM/19-20/19717 16/03/2020 | Serial | 041 Last Visit: 16/03/2020 |
| Patient Name | Mrs. SAHANA BIBI | Contact No | 9123052687 |
| Address | 127/B A. P. GHOSH ROAD,CHATRA | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||