Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10992 | Date 11/05/2022 |
| Token No | SM/22-23/12346 11/05/2022 | Serial | 008 Last Visit: 11/05/2022 |
| Patient Name | Mrs. SUSMITA PAL | Contact No | 9732244128 |
| Address | GOBINDA NAGAR ,BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 20.661157 |
| Diagnosis | |||