Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02711 | Date 28/12/2018 |
| Token No | SM/18-19/5880 28/12/2018 | Serial | 022 Last Visit: 28/12/2018 |
| Patient Name | Mrs. MANJU PAGRE | Contact No | 8981818027 |
| Address | CHATRA, BHATTACHARYA PARA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||