Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01773 | Date 30/10/2018 |
| Token No | SM/18-19/3156 30/10/2018 | Serial | 027 Last Visit: 30/10/2018 |
| Patient Name | Mrs. ALOKESI MAJHI | Contact No | |
| Address | PYARAPUR MAJHIPARA | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 180/100 mmHg | Weight | 50 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||