Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01912 | Date 05/11/2018 |
| Token No | SM/18-19/3502 05/11/2018 | Serial | 062 Last Visit: 05/11/2018 |
| Patient Name | Mrs. KABITA BENERJEE | Contact No | 9826842237 |
| Address | CHATRA | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 47 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||