Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10464 | Date 28/12/2021 |
| Token No | SM/22-23/11978 25/04/2022 | Serial | 006 Last Visit: 10/05/2022 |
| Patient Name | Mrs. PUJA ROY | Contact No | 9875692064 |
| Address | 27 BAZAR BEY LANE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | 157.2 cm BMI: 24.077527 |
| Diagnosis | |||