Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10696 | Date 21/02/2022 |
| Token No | SM/22-23/12581 18/05/2022 | Serial | 020 Last Visit: 01/08/2022 |
| Patient Name | Mrs. JUI DOLUI | Contact No | 9836352035 |
| Address | 8 BAHIR SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.5 KG |
| Pulse Rate | / min | Height | 165.7 cm BMI: 23.491714 |
| Diagnosis | |||