Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01618 | Date 11/10/2018 |
| Token No | SM/18-19/2758 11/10/2018 | Serial | 021 Last Visit: 11/10/2018 |
| Patient Name | Mrs. MUNMUN PURKAIT | Contact No | |
| Address | CHATRA DUTTA PARA | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 161/74 mmHg | Weight | 55 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||