Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02182 | Date 28/11/2018 |
| Token No | SM/19-20/2559 11/05/2019 | Serial | 047 Last Visit: 11/05/2019 |
| Patient Name | Mrs. REKHA MAJHI | Contact No | 9674795390 |
| Address | 80, CHATRA BARUI PARA | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||