Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10843 | Date 28/03/2022 |
| Token No | SM/22-23/11633 11/04/2022 | Serial | 018 Last Visit: 11/04/2022 |
| Patient Name | Mrs. RAMA DAS | Contact No | 9231122010 |
| Address | 78/A TELIPARA CHATRA,BAIDYABATI(M) | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 144.5 cm BMI: 21.551466 |
| Diagnosis | |||