Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00094 | Date 03/08/2018 |
| Token No | SM/18-19/96 03/08/2018 | Serial | 013 Last Visit: 03/08/2018 |
| Patient Name | Mrs. SIKHA LAHA | Contact No | 897758239 |
| Address | 49, CHATRA BARUI PARA | Age | 55.0 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 167/91 mmHg | Weight | 90 KG |
| Pulse Rate | 110 / min | Height | cm BMI: inf |
| Diagnosis | |||