Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10456 | Date 27/12/2021 |
| Token No | SM/21-22/8119 27/12/2021 | Serial | 011 Last Visit: 27/12/2021 |
| Patient Name | Mrs. CHAMPA MONDAL | Contact No | 8013283621 |
| Address | 71 G.T. ROAD.PAMPA NAGAR,BAIDYABATI(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 156.1 cm BMI: 22.571316 |
| Diagnosis | |||