Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01580 | Date 09/10/2018 |
| Token No | SM/18-19/2644 09/10/2018 | Serial | 033 Last Visit: 09/10/2018 |
| Patient Name | Mrs. SANDHA RANI PAKHRA | Contact No | |
| Address | TELI PARA BAGHER BAGAN | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||