Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00551 | Date 18/08/2018 |
| Token No | SM/18-19/644 18/08/2018 | Serial | 040 Last Visit: 18/08/2018 |
| Patient Name | Mrs. APARNA BERA | Contact No | |
| Address | 66, CHARTA DHARMOTALA LANE | Age | 36.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 99/52 mmHg | Weight | 44 KG |
| Pulse Rate | 105 / min | Height | cm BMI: inf |
| Diagnosis | |||