Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10812 | Date 17/03/2022 |
| Token No | SM/21-22/10841 17/03/2022 | Serial | 007 Last Visit: 02/04/2022 |
| Patient Name | Mrs. JHUMA GUHA ROY | Contact No | 7047616826 |
| Address | 35/1RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 33 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 149.2 cm BMI: 20.215052 |
| Diagnosis | |||