Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10583 | Date 19/01/2022 |
| Token No | SM/21-22/9096 19/01/2022 | Serial | 002 Last Visit: 19/01/2022 |
| Patient Name | Mrs. SUDHARANI BISWAS | Contact No | |
| Address | 160/A BAGHER BAGAN,TELIPARA,BAIDYABATI(M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 138.5 cm BMI: 23.980503 |
| Diagnosis | |||