Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10613 | Date 31/01/2022 |
| Token No | SM/21-22/9488 31/01/2022 | Serial | 021 Last Visit: 31/01/2022 |
| Patient Name | Mrs. SRABANI BANERJEE | Contact No | 9231789622 |
| Address | 61/A,G.T ROAD BAIDHYABATI CHATRA | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 23.555556 |
| Diagnosis | |||