Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10446 | Date 23/12/2021 |
| Token No | SM/21-22/8020 23/12/2021 | Serial | 001 Last Visit: 21/06/2022 |
| Patient Name | Miss MADHUMITA DAS | Contact No | 9831886746 |
| Address | 10/A BARA BAGAN LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 162.1 cm BMI: 25.117586 |
| Diagnosis | |||