Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00358 | Date 11/08/2018 |
| Token No | SM/18-19/388 11/08/2018 | Serial | 020 Last Visit: 11/08/2018 |
| Patient Name | Mrs. BHARATI RUIDAS | Contact No | |
| Address | CHATRA DASPARA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/69 mmHg | Weight | 44 KG |
| Pulse Rate | 88 / min | Height | cm BMI: inf |
| Diagnosis | |||