Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00447 | Date 14/08/2018 |
| Token No | SM/18-19/499 14/08/2018 | Serial | 040 Last Visit: 14/08/2018 |
| Patient Name | Mrs. MOLY MAZUMDAR | Contact No | 9804546177 |
| Address | 55, DHARMATALA LANE, CHATRA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 152/94 mmHg | Weight | 57 KG |
| Pulse Rate | 96 / min | Height | cm BMI: inf |
| Diagnosis | |||