Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09231 | Date 30/01/2021 |
| Token No | SM/21-22/9847 14/02/2022 | Serial | 023 Last Visit: 02/11/2023 |
| Patient Name | Mrs. CHAITALI DAS | Contact No | 7003000358 |
| Address | 54/23 PATIPARA,BAIDYABATI(M) | Age | 39 Years,10 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 41 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 18.222222 |
| Diagnosis | |||