Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00608 | Date 21/08/2018 |
| Token No | SM/18-19/724 21/08/2018 | Serial | 022 Last Visit: 21/08/2018 |
| Patient Name | Mrs. SABITA SADHUKHA | Contact No | 9681065397 |
| Address | 3, DHARMOTALA LANE CHATRA | Age | 50.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 103/54 mmHg | Weight | 44 KG |
| Pulse Rate | 82 / min | Height | cm BMI: inf |
| Diagnosis | |||