Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00491 | Date 16/08/2018 |
| Token No | SM/18-19/553 16/08/2018 | Serial | 041 Last Visit: 16/08/2018 |
| Patient Name | Mrs. SABITRI MALLIK | Contact No | |
| Address | 85, A.P GHOSH ROAD | Age | 40.0 Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 110/71 mmHg | Weight | 44 KG |
| Pulse Rate | 77 / min | Height | cm BMI: inf |
| Diagnosis | |||