Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01453 | Date 01/10/2018 |
| Token No | SM/18-19/2319 01/10/2018 | Serial | 039 Last Visit: 01/10/2018 |
| Patient Name | Mrs. PAPRI BISWASH | Contact No | 9830131874 |
| Address | 416/1 G T ROAD CHATRA BOUBAZAR | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||