Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00478 | Date 16/08/2018 |
| Token No | SM/18-19/538 16/08/2018 | Serial | 026 Last Visit: 16/08/2018 |
| Patient Name | Mrs. SANDHYA DAS ADHIKARY | Contact No | 9007888862 |
| Address | LANKAR BAGAN ,CHATRA | Age | 42.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 141/100 mmHg | Weight | 70.5 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||