Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00638 | Date 23/08/2018 |
| Token No | SM/18-19/767 23/08/2018 | Serial | 016 Last Visit: 23/08/2018 |
| Patient Name | Mrs. SILPA RAY | Contact No | 8609624180 |
| Address | 33,BEGAMPUR (CT) | Age | 22.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 119/81 mmHg | Weight | 57.5 KG |
| Pulse Rate | 150 / min | Height | cm BMI: inf |
| Diagnosis | |||