Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 04656 | Date 09/04/2019 |
| Token No | SM/19-20/623 09/04/2019 | Serial | 077 Last Visit: 09/04/2019 |
| Patient Name | Miss PUJA MURMU | Contact No | 8972717250 |
| Address | 2 (INDROPURI FLAT) | Age | 16 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||