Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01395 | Date 27/09/2018 |
| Token No | SM/18-19/2171 27/09/2018 | Serial | 052 Last Visit: 27/09/2018 |
| Patient Name | Mrs. PACHI PARAMANIK | Contact No | |
| Address | POMPANAGAR CHATRA,BAIDAYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 145/84 mmHg | Weight | 40 KG |
| Pulse Rate | 78 / min | Height | cm BMI: inf |
| Diagnosis | |||