Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00651 | Date 23/08/2018 |
| Token No | SM/18-19/783 23/08/2018 | Serial | 032 Last Visit: 23/08/2018 |
| Patient Name | Mrs. NANDITA NATH | Contact No | 8910607177 |
| Address | 14 GT ROAD KUMAR BAGAN, WEST | Age | 34.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 133/92 mmHg | Weight | 74 KG |
| Pulse Rate | 101 / min | Height | cm BMI: inf |
| Diagnosis | |||