Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10626 | Date 04/02/2022 |
| Token No | SM/22-23/12265 10/05/2022 | Serial | 001 Last Visit: 10/05/2022 |
| Patient Name | Mrs. PUJA RAJBHAR | Contact No | 8013155761 |
| Address | NORTH GOALA PARA | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 153.2 cm BMI: 21.303574 |
| Diagnosis | |||