Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 00364 | Date 11/08/2018 |
| Token No | SM/18-19/395 11/08/2018 | Serial | 027 Last Visit: 01/09/2018 |
| Patient Name | Mrs. RANITA GHOSH | Contact No | 7003265196 |
| Address | 45/1, R.K. ROAD, CHATRA | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 131/81 mmHg | Weight | 67 KG |
| Pulse Rate | 81 / min | Height | cm BMI: inf |
| Diagnosis | |||