Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05737 | Date 11/07/2019 |
| Token No | SM/19-20/6296 11/07/2019 | Serial | 046 Last Visit: 11/07/2019 |
| Patient Name | Mrs. MANCHALA JHA | Contact No | 9433341874 |
| Address | N. N. ROY STREET | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||