Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01478 | Date 03/10/2018 |
| Token No | SM/18-19/2383 03/10/2018 | Serial | 038 Last Visit: 03/10/2018 |
| Patient Name | Mrs. KAJAL SAMANTA | Contact No | |
| Address | CHATRA BOUBAZAR | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||