Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10900 | Date 08/04/2022 |
| Token No | SM/22-23/11566 08/04/2022 | Serial | 040 Last Visit: 12/04/2022 |
| Patient Name | Mrs. POULOMI DUTTA | Contact No | 9681491500 |
| Address | 93/A BARUIPARA LANE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 149.5 cm BMI: 27.292760 |
| Diagnosis | |||