Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05426 | Date 14/06/2019 |
| Token No | SM/21-22/8347 31/12/2021 | Serial | 034 Last Visit: 27/09/2022 |
| Patient Name | Mrs. CHAINA MAJHI | Contact No | 8583020448 |
| Address | 40/8 GODAR BAGAN BYE LANE CHATRA , BAIDYABATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 145.8 cm BMI: 25.873051 |
| Diagnosis | |||