Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00884 | Date 01/09/2018 |
| Token No | SM/18-19/1157 01/09/2018 | Serial | 031 Last Visit: 01/09/2018 |
| Patient Name | Mrs. TUSI PUTATUNDA | Contact No | 9836867924 |
| Address | 10/P/1 ROY M.C. LAHIRI STREET | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 103/69 mmHg | Weight | 41 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||