Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00359 | Date 11/08/2018 |
| Token No | SM/18-19/389 11/08/2018 | Serial | 021 Last Visit: 11/08/2018 |
| Patient Name | Mrs. GULU PAL | Contact No | |
| Address | CHATRABAZAR ROAD | Age | 47 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/70 mmHg | Weight | 50 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||