Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01008 | Date 10/09/2018 |
| Token No | SM/18-19/1419 10/09/2018 | Serial | 007 Last Visit: 10/09/2018 |
| Patient Name | Mrs. ANGUR DAS | Contact No | |
| Address | BAGER BAGAN CHATRA BAIDYABATI(M) | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/63 mmHg | Weight | 41 KG |
| Pulse Rate | 86 / min | Height | cm BMI: inf |
| Diagnosis | |||