Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00828 | Date 29/08/2018 |
| Token No | SM/18-19/1040 29/08/2018 | Serial | 046 Last Visit: 03/05/2024 |
| Patient Name | Mrs. PINKI BIBI | Contact No | |
| Address | 5/A MUSALMAN PARA, CHATRA | Age | 23 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/57 mmHg | Weight | 40 KG |
| Pulse Rate | 92 / min | Height | cm BMI: inf |
| Diagnosis | |||