Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10962 | Date 26/04/2022 |
| Token No | SM/22-23/12020 26/04/2022 | Serial | 004 Last Visit: 24/06/2022 |
| Patient Name | Mrs. LATA DAS | Contact No | 8250560986 |
| Address | GAZINA DASPUR SETALA TALA LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 144.4 cm BMI: 23.979251 |
| Diagnosis | |||