Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01141 | Date 14/09/2018 |
| Token No | SM/18-19/1665 14/09/2018 | Serial | 031 Last Visit: 14/09/2018 |
| Patient Name | Mrs. JOSHANA MAJHI | Contact No | 9874751596 |
| Address | CHATRA MANA PARA , BAIDYABATI (M) | Age | 23.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 101/70 mmHg | Weight | 62 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||