Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08579 | Date 22/07/2020 |
| Token No | SM/22-23/11266 01/04/2022 | Serial | 007 Last Visit: 04/04/2022 |
| Patient Name | Mrs. MANASHI SOM | Contact No | 9433333765 |
| Address | 17/A DUTTA PARA LANE | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 145.8 cm BMI: 25.873051 |
| Diagnosis | |||