Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10860 | Date 01/04/2022 |
| Token No | SM/22-23/11261 01/04/2022 | Serial | 002 Last Visit: 29/04/2022 |
| Patient Name | Mrs. TUMPA BELEL SIL | Contact No | 7001184554 |
| Address | KHANPUR BELELPARA CHANDITALA 16/B/8 BARABAGAN LANE SERAMPORE(M) | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 24.497545 |
| Diagnosis | |||