Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01668 | Date 13/10/2018 |
| Token No | SM/18-19/2881 13/10/2018 | Serial | 035 Last Visit: 13/10/2018 |
| Patient Name | Mrs. SUBHRA SOM | Contact No | 8478035276 |
| Address | 24/A BARUIPARA LANE, CHATRA | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 158/98 mmHg | Weight | KG |
| Pulse Rate | 114 / min | Height | cm BMI: nan |
| Diagnosis | |||