Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00396 | Date 13/08/2018 |
| Token No | SM/18-19/436 13/08/2018 | Serial | 027 Last Visit: 13/08/2018 |
| Patient Name | Mrs. MAMATA PAL | Contact No | 8981171610 |
| Address | 17, P.N.K. BANERJEE LANE, CHATRA | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 145/96 mmHg | Weight | 60 KG |
| Pulse Rate | 112 / min | Height | cm BMI: inf |
| Diagnosis | |||