Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02790 | Date 13/08/2019 |
| Token No | SM/18-19/5588 13/08/2019 | Serial | 013 |
| Patient Name | Miss JUKTA KOIRI | Contact No | 8956895880 |
| Address | PRAVAS NAGAR | Age | 37 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||