Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 01191 | Date 18/09/2018 |
| Token No | SM/18-19/1760 18/09/2018 | Serial | 026 Last Visit: 18/09/2018 |
| Patient Name | Mrs. GULSAN AARA BIBI | Contact No | 8013702481 |
| Address | 5 ARABINDA SARANI,CHATRA | Age | 38 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/63 mmHg | Weight | 49 KG |
| Pulse Rate | 89 / min | Height | cm BMI: inf |
| Diagnosis | |||