Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10985 | Date 10/05/2022 |
| Token No | SM/22-23/12310 10/05/2022 | Serial | 046 Last Visit: 23/09/2022 |
| Patient Name | Mrs. RITA DUTTA | Contact No | 7890842465 |
| Address | 64/1 GODAR BAGAN,BAIDYABATI(M) | Age | 58 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 22.675737 |
| Diagnosis | |||