Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10594 | Date 21/01/2022 |
| Token No | SM/21-22/9200 21/01/2022 | Serial | 008 Last Visit: 21/01/2022 |
| Patient Name | Mrs. UMA POLLEY | Contact No | 7439533632 |
| Address | 17 CHAKRABORTY LANE SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 144.5 cm BMI: 28.735288 |
| Diagnosis | |||