Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01289 | Date 24/09/2018 |
| Token No | SM/18-19/1966 24/09/2018 | Serial | 025 Last Visit: 24/09/2018 |
| Patient Name | Mrs. CHYNA RUI DAS | Contact No | 9674307254 |
| Address | CHATRA DAS PARA,BAIDYABATI | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||