Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00297 | Date 10/08/2018 |
| Token No | SM/18-19/321 10/08/2018 | Serial | 009 Last Visit: 10/08/2018 |
| Patient Name | Mrs. ANAMIKA DEY | Contact No | 7890071498 |
| Address | 140, BARUI PARA LANE , CHATRA | Age | 23.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/95 mmHg | Weight | 58 KG |
| Pulse Rate | 120 / min | Height | cm BMI: inf |
| Diagnosis | |||