Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10656 | Date 10/02/2022 |
| Token No | SM/21-22/9756 10/02/2022 | Serial | 017 Last Visit: 10/02/2022 |
| Patient Name | Mrs. SANTANA DAS | Contact No | 9330163327 |
| Address | CHAK GOYALAPARA BAIDYABATI | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | 146.4 cm BMI: 15.863418 |
| Diagnosis | |||