Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02309 | Date 03/12/2018 |
| Token No | SM/18-19/4597 03/12/2018 | Serial | 063 Last Visit: 03/12/2018 |
| Patient Name | Mrs. MAMATA DAS | Contact No | 9143252363 |
| Address | LANKAER BAGAN | Age | 37 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||