Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 01890 | Date 05/11/2018 |
| Token No | SM/18-19/3450 05/11/2018 | Serial | 010 Last Visit: 05/11/2018 |
| Patient Name | Mrs. ARNAPURNA NAND0Y | Contact No | 9830246602 |
| Address | 43 A MADAM BAGAN LANE | Age | 81 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | 49 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||