Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00635 | Date 23/08/2018 |
| Token No | SM/18-19/761 23/08/2018 | Serial | 010 Last Visit: 30/08/2019 |
| Patient Name | Mrs. SIKHA RANI DAS | Contact No | 9874530525 |
| Address | 57/A PATUA PARA LANE | Age | 40.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 215/111 mmHg | Weight | 51 KG |
| Pulse Rate | 93 / min | Height | cm BMI: inf |
| Diagnosis | |||