Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10944 | Date 21/04/2022 |
| Token No | SM/22-23/11871 21/04/2022 | Serial | 012 Last Visit: 12/10/2022 |
| Patient Name | Mrs. SANTANA PANKARHE | Contact No | 9330541252 |
| Address | 41 BARABAGAN LANE SERAMPORE(M) MALLICKPARA | Age | 33 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 147.4 cm BMI: 25.314405 |
| Diagnosis | |||