Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10888 | Date 06/04/2022 |
| Token No | SM/22-23/11490 06/04/2022 | Serial | 041 Last Visit: 06/04/2022 |
| Patient Name | Mrs. SANGITA SARMA | Contact No | 8017319019 |
| Address | 9B KUMIRJOLA ROAD | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 22.371114 |
| Diagnosis | |||