Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10842 | Date 28/03/2022 |
| Token No | SM/21-22/11123 28/03/2022 | Serial | 007 Last Visit: 09/09/2022 |
| Patient Name | Mrs. DINA PUE MONDAL | Contact No | 8637883265 |
| Address | 52 N. S. AVENUE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 26.159334 |
| Diagnosis | |||