Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10724 | Date 25/02/2022 |
| Token No | SM/21-22/10267 25/02/2022 | Serial | 023 Last Visit: 03/03/2022 |
| Patient Name | Mrs. RASMANI SENAPATI | Contact No | 9007746931 |
| Address | 157,MUKHERJEEPARA CHATRA SERAMPORE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 146.8 cm BMI: 23.201598 |
| Diagnosis | |||