Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00654 | Date 23/08/2018 |
| Token No | SM/18-19/787 23/08/2018 | Serial | 036 Last Visit: 23/08/2018 |
| Patient Name | Mrs. PINKI DUTTA | Contact No | 703816873 |
| Address | 72, CHATRA BARUI PARA LANE | Age | 35.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 108/81 mmHg | Weight | 61 KG |
| Pulse Rate | 110 / min | Height | cm BMI: inf |
| Diagnosis | |||