Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10632 | Date 08/02/2022 |
| Token No | SM/21-22/10699 11/03/2022 | Serial | 052 Last Visit: 13/07/2022 |
| Patient Name | Mrs. PAMPA BAG | Contact No | 8420086791 |
| Address | 18 DR. BAGAN LANE , | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65.2 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||