Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00901 | Date 04/09/2018 |
| Token No | SM/18-19/1196 04/09/2018 | Serial | 032 Last Visit: 28/05/2019 |
| Patient Name | Mrs. PADYARANI GHOSH | Contact No | |
| Address | JAGADHATRI PARA,CHATRA | Age | 75.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 129/89 mmHg | Weight | 36.5 KG |
| Pulse Rate | 101 / min | Height | cm BMI: inf |
| Diagnosis | |||