Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10858 | Date 31/03/2022 |
| Token No | SM/21-22/11250 31/03/2022 | Serial | 043 Last Visit: 12/04/2022 |
| Patient Name | Mrs. MANJU INDRA | Contact No | 9748596768 |
| Address | SHEORAPHULY,BAIDYABATI(M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 25.799516 |
| Diagnosis | |||