Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01845 | Date 02/11/2018 |
| Token No | SM/18-19/3318 02/11/2018 | Serial | 002 Last Visit: 02/11/2018 |
| Patient Name | Mrs. RANI DEBI MAHATO | Contact No | 8336015005 |
| Address | 14 JAGAMOHON LEHIRI LANE | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||