Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00345 | Date 11/08/2018 |
| Token No | SM/19-20/7277 25/07/2019 | Serial | 030 Last Visit: 06/03/2020 |
| Patient Name | Mrs. SABITA NANDI(DHARA) | Contact No | 9836871191 |
| Address | 7, BARUIPARA LANE, CHATRA | Age | 45.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||