Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10837 | Date 24/03/2022 |
| Token No | SM/21-22/11045 24/03/2022 | Serial | 006 Last Visit: 24/03/2022 |
| Patient Name | Mrs. SONALI PATRA | Contact No | 9062765389 |
| Address | 43 G.T. ROAD WEST SERAMPORE MALLICKPARA | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 152.4 cm BMI: 25.833385 |
| Diagnosis | |||