Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10844 | Date 29/03/2022 |
| Token No | SM/21-22/11157 29/03/2022 | Serial | 016 Last Visit: 29/03/2022 |
| Patient Name | Mrs. SUKLA NANDI | Contact No | 9804194509 |
| Address | 24/C SERAMPORE BENIA PARA LANE | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 80 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 37.021611 |
| Diagnosis | |||