Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10426 | Date 16/12/2021 |
| Token No | SM/21-22/8325 31/12/2021 | Serial | 012 Last Visit: 31/12/2021 |
| Patient Name | Mrs. MAYA PAL | Contact No | 9875390076 |
| Address | 13/A KUMOR PARA LANE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 23.025306 |
| Diagnosis | |||