Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00480 | Date 16/08/2018 |
| Token No | SM/18-19/540 16/08/2018 | Serial | 028 Last Visit: 20/06/2019 |
| Patient Name | Mrs. KAKOKLI LAHA | Contact No | 9163685518 |
| Address | 81, SHITLATALA CHATRA | Age | 41.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 108/67 mmHg | Weight | 49 KG |
| Pulse Rate | 100 / min | Height | cm BMI: inf |
| Diagnosis | |||