Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10793 | Date 12/03/2022 |
| Token No | SM/21-22/10730 12/03/2022 | Serial | 031 Last Visit: 12/03/2022 |
| Patient Name | Mrs. BIUTI SINGH | Contact No | 9123976217 |
| Address | TELIPARA BAGER BAGAN BAIDYABATI(M) CHATRA | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 155.6 cm BMI: 22.716609 |
| Diagnosis | |||