Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10612 | Date 29/01/2022 |
| Token No | SM/21-22/9434 29/01/2022 | Serial | 002 Last Visit: 29/01/2022 |
| Patient Name | Mrs. DIPALI DHAR | Contact No | 8420011212 |
| Address | G.T. ROAD,PAMPANAGAR,BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 139.6 cm BMI: 26.169736 |
| Diagnosis | |||