Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01547 | Date 06/10/2018 |
| Token No | SM/18-19/2562 06/10/2018 | Serial | 022 Last Visit: 06/10/2018 |
| Patient Name | Mrs. NANDITA DAS | Contact No | 9674251546 |
| Address | 113/52A CHATRA DAS PARA | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 116/76 mmHg | Weight | 70 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||