Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10639 | Date 08/02/2022 |
| Token No | SM/21-22/9676 08/02/2022 | Serial | 032 Last Visit: 09/06/2022 |
| Patient Name | Mrs. SOMA HALDER | Contact No | 9330246307 |
| Address | 1 KANAI DEYAN TALA LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 22.290997 |
| Diagnosis | |||