Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00942 | Date 06/09/2018 |
| Token No | SM/18-19/1283 06/09/2018 | Serial | 008 Last Visit: 06/09/2018 |
| Patient Name | Mrs. MALIKA DAS | Contact No | 9831623683 |
| Address | 27/B A.P GHOSH ROAD CHATRA | Age | 24.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 174/102 mmHg | Weight | 79 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||