Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00437 | Date 14/08/2018 |
| Token No | SM/18-19/486 14/08/2018 | Serial | 027 Last Visit: 14/08/2018 |
| Patient Name | Mrs. SANDHYA PAL | Contact No | |
| Address | TETULTOLA, CHATRA, BAIDYABATI M | Age | 65.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 166/102 mmHg | Weight | 56 KG |
| Pulse Rate | 120 / min | Height | cm BMI: inf |
| Diagnosis | |||