Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10463 | Date 28/12/2021 |
| Token No | SM/21-22/8183 28/12/2021 | Serial | 006 Last Visit: 28/12/2021 |
| Patient Name | Mrs. PIYALI DAS | Contact No | 8777565352 |
| Address | 3/C GHOSH PARA 1ST LANE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 31.645570 |
| Diagnosis | |||