Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00921 | Date 05/09/2018 |
| Token No | SM/18-19/1807 19/09/2018 | Serial | 019 Last Visit: 19/09/2018 |
| Patient Name | Mrs. SARNO BAG | Contact No | 9051861128 |
| Address | BARO BELUR, BELU MILKI | Age | 45.8 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||