Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11018 | Date 18/05/2022 |
| Token No | SM/22-23/12891 25/05/2022 | Serial | 040 Last Visit: 17/09/2022 |
| Patient Name | Mrs. REKHA SAHA | Contact No | 9088800330 |
| Address | 12/G LAL BAHADUR SHASTRI ROAD | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50.5 KG |
| Pulse Rate | / min | Height | 155.4 cm BMI: 20.911700 |
| Diagnosis | |||