Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04611 | Date 08/04/2019 |
| Token No | SM/19-20/476 08/04/2019 | Serial | 040 Last Visit: 08/04/2019 |
| Patient Name | Mrs. APARNA MANNA | Contact No | 9051420429 |
| Address | SEORAPHULI | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||