Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10916 | Date 11/04/2022 |
| Token No | SM/22-23/11647 11/04/2022 | Serial | 032 Last Visit: 11/04/2022 |
| Patient Name | Mrs. YOJAMAYA DEY | Contact No | 9434466726 |
| Address | 55 A G.T. ROAD,KALITALA | Age | 61 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 26.141228 |
| Diagnosis | |||