Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01172 | Date 15/09/2018 |
| Token No | SM/18-19/1721 15/09/2018 | Serial | 041 Last Visit: 15/09/2018 |
| Patient Name | Mrs. MITALI MALLICK | Contact No | 9681065295 |
| Address | 59/B CHATRA DHARMOTALA | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 124/70 mmHg | Weight | 48 KG |
| Pulse Rate | 106 / min | Height | cm BMI: inf |
| Diagnosis | |||