Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10730 | Date 28/02/2022 |
| Token No | SM/21-22/10314 28/02/2022 | Serial | 020 Last Visit: 28/02/2022 |
| Patient Name | Mrs. MONGALA SANTRA | Contact No | 8101770095 |
| Address | HARIPUR PAHALAMPUR | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 149.1 cm BMI: 22.491308 |
| Diagnosis | |||