Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00481 | Date 16/08/2018 |
| Token No | SM/18-19/541 16/08/2018 | Serial | 029 Last Visit: 16/08/2018 |
| Patient Name | Mrs. SUCHITRA RAY | Contact No | 8478052135 |
| Address | CHATRA SHITLATALA | Age | 21.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 90/52 mmHg | Weight | 47 KG |
| Pulse Rate | 108 / min | Height | cm BMI: inf |
| Diagnosis | |||