Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10442 | Date 22/12/2021 |
| Token No | SM/21-22/7990 22/12/2021 | Serial | 010 Last Visit: 22/12/2021 |
| Patient Name | Mrs. MANIKA BAG | Contact No | 8443839100 |
| Address | 110,TELIPARA BAGER BAGAN BAIDHYABATI | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 128/80 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||