Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00955 | Date 06/09/2018 |
| Token No | SM/18-19/1307 06/09/2018 | Serial | 032 Last Visit: 06/09/2018 |
| Patient Name | Mrs. TAPATI DAS | Contact No | 9477997600 |
| Address | 15 BORO BAGAN ,CHATRA | Age | 37.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 167/99 mmHg | Weight | 64 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||