Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10829 | Date 23/03/2022 |
| Token No | SM/21-22/10997 23/03/2022 | Serial | 003 Last Visit: 21/04/2022 |
| Patient Name | Mrs. URMILA DEVI YADAV | Contact No | 9681551690 |
| Address | 25/A KUMAR JALA ROAD SERAMPORE (M) MALLICKPARA | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 160.3 cm BMI: 25.684842 |
| Diagnosis | |||