Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01599 | Date 10/10/2018 |
| Token No | SM/18-19/2692 10/10/2018 | Serial | 017 Last Visit: 10/10/2018 |
| Patient Name | Mrs. DIPA DAS | Contact No | 8017889309 |
| Address | CHATRA DHARMA TALA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/76 mmHg | Weight | 64 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||