Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01041 | Date 11/09/2018 |
| Token No | SM/18-19/1497 11/09/2018 | Serial | 027 Last Visit: 11/09/2018 |
| Patient Name | Mrs. SANDHA PAGRE | Contact No | |
| Address | BHATTACHAREYA PARA,CHATRA | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 151/101 mmHg | Weight | 60 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||