Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00593 | Date 20/08/2018 |
| Token No | SM/18-19/700 20/08/2018 | Serial | 044 Last Visit: 12/09/2018 |
| Patient Name | Mrs. SIMA SAHA | Contact No | 9674261143 |
| Address | 65/33 FINGI DANGA ROAD SUKANTA PALLI | Age | 32.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 125/80 mmHg | Weight | 52 KG |
| Pulse Rate | 80 / min | Height | cm BMI: inf |
| Diagnosis | |||