Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10966 | Date 26/04/2022 |
| Token No | SM/22-23/12037 26/04/2022 | Serial | 021 Last Visit: 01/12/2022 |
| Patient Name | Mrs. RABI SINGH | Contact No | 9051223899 |
| Address | 1NO MUSALMAN PARA ROAD SERAMPORE | Age | 38 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 155.4 cm BMI: 24.431492 |
| Diagnosis | |||