Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01026 | Date 10/09/2018 |
| Token No | SM/18-19/1461 10/09/2018 | Serial | 049 Last Visit: 18/12/2025 |
| Patient Name | Mrs. ARATI GARAI | Contact No | 8017626970 |
| Address | 50/1 CHATRA DHARMA TALA LANE | Age | 57 Years,11 Months,16 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 162/91 mmHg | Weight | 71 KG |
| Pulse Rate | 81 / min | Height | cm BMI: inf |
| Diagnosis | |||