Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00582 | Date 20/08/2018 |
| Token No | SM/18-19/685 20/08/2018 | Serial | 029 Last Visit: 20/08/2018 |
| Patient Name | Mrs. PARTIMA PARUI | Contact No | 8981587064 |
| Address | 5, SUDIP CH. ROY LANE CHATRA | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 114/74 mmHg | Weight | 59 KG |
| Pulse Rate | 112 / min | Height | cm BMI: inf |
| Diagnosis | |||