Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10714 | Date 23/02/2022 |
| Token No | SM/22-23/11869 21/04/2022 | Serial | 010 Last Visit: 25/06/2022 |
| Patient Name | Mrs. ANAMIKA GOSWAMI | Contact No | 7278962520 |
| Address | 51/C/4 BARABAGAN LANE | Age | 14 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 146.2 cm BMI: 21.053183 |
| Diagnosis | |||