Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10963 | Date 26/04/2022 |
| Token No | SM/22-23/12021 26/04/2022 | Serial | 005 Last Visit: 26/04/2022 |
| Patient Name | Mrs. KRISHNA PATRA | Contact No | 9123089577 |
| Address | 42 KUMIR JALA ROAD SERAMPORE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70.1 KG |
| Pulse Rate | / min | Height | 152.2 cm BMI: 30.261379 |
| Diagnosis | |||