Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00988 | Date 07/09/2018 |
| Token No | SM/18-19/1366 07/09/2018 | Serial | 038 Last Visit: 07/09/2018 |
| Patient Name | Mrs. JAYNTI MALLICK | Contact No | |
| Address | CHATRA BAGER BAGAN | Age | 43.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 127/78 mmHg | Weight | 45 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||