Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00093 | Date 03/08/2018 |
| Token No | SM/18-19/95 03/08/2018 | Serial | 012 Last Visit: 28/09/2018 |
| Patient Name | Mrs. BHANUMATI DUTTA | Contact No | 9874281447 |
| Address | CHATARA SHITLATALA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 102/54 mmHg | Weight | 35 KG |
| Pulse Rate | 97 / min | Height | cm BMI: inf |
| Diagnosis | |||