Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10853 | Date 31/03/2022 |
| Token No | SM/21-22/11212 31/03/2022 | Serial | 005 Last Visit: 31/03/2022 |
| Patient Name | Miss SOUMITA MAJUMDER | Contact No | 7384865519 |
| Address | 14/C DUTTES LANE | Age | 17 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 157.2 cm BMI: 24.279859 |
| Diagnosis | |||