Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03602 | Date 15/02/2019 |
| Token No | SM/18-19/8771 15/02/2019 | Serial | 059 Last Visit: 15/02/2019 |
| Patient Name | Mrs. SAKALDIP SING | Contact No | 8910102756 |
| Address | BHADRESHWAR,PACHIMPARA | Age | 75 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||