Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10856 | Date 31/03/2022 |
| Token No | SM/21-22/11225 31/03/2022 | Serial | 018 Last Visit: 31/03/2022 |
| Patient Name | Mrs. SUMATIRANI SAHA | Contact No | 9051718403 |
| Address | 10/A TARAPUKUR COLONY | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 23.265959 |
| Diagnosis | |||