Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00779 | Date 28/08/2018 |
| Token No | SM/18-19/969 28/08/2018 | Serial | 039 Last Visit: 28/08/2018 |
| Patient Name | Mrs. HAZRA KHATUN | Contact No | |
| Address | KUMAR PARA MUSALMAN PARA | Age | 71 Years,5 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 155/82 mmHg | Weight | 42 KG |
| Pulse Rate | 110 / min | Height | cm BMI: inf |
| Diagnosis | |||