Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11012 | Date 17/05/2022 |
| Token No | SM/22-23/12535 17/05/2022 | Serial | 045 Last Visit: 17/05/2022 |
| Patient Name | Mrs. SANDHYA MARIK | Contact No | |
| Address | 44, CHATRA BARUI PARA LANE SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 142.4 cm BMI: 18.246591 |
| Diagnosis | |||