Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10431 | Date 18/12/2021 |
| Token No | SM/21-22/9175 20/01/2022 | Serial | 034 Last Visit: 20/01/2022 |
| Patient Name | Mrs. MALATI DAS | Contact No | 9339387357 |
| Address | 24 MUSALMAN PARTA ROADF SHEORAPHULI | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 165 cm BMI: 22.038567 |
| Diagnosis | |||