Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11008 | Date 14/05/2022 |
| Token No | SM/22-23/12554 17/05/2022 | Serial | 064 Last Visit: 17/05/2022 |
| Patient Name | Mrs. MANISHA SARKAR | Contact No | 7980901669 |
| Address | 3/2K.C MUKHERJEE STREET | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 15.711360 |
| Diagnosis | |||