Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00900 | Date 04/09/2018 |
| Token No | SM/18-19/1195 04/09/2018 | Serial | 031 Last Visit: 04/09/2018 |
| Patient Name | Mrs. SAIMANTI PATRA | Contact No | 9903842421 |
| Address | 10 DR. G C GOSWAMI STREET | Age | 32.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 133/92 mmHg | Weight | 73 KG |
| Pulse Rate | 112 / min | Height | cm BMI: inf |
| Diagnosis | |||