Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10669 | Date 14/02/2022 |
| Token No | SM/21-22/9830 14/02/2022 | Serial | 006 Last Visit: 24/02/2022 |
| Patient Name | Miss PUJA KUMARI RAJAK | Contact No | 7003999410 |
| Address | 41 TELKAL GHAT RAILWAY QUARTER HOWRAH BHATTACHARJEE PARA SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 84 KG |
| Pulse Rate | / min | Height | 155.5 cm BMI: 34.739095 |
| Diagnosis | |||