Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11051 | Date 26/05/2022 |
| Token No | SM/22-23/12918 26/05/2022 | Serial | 024 Last Visit: 26/05/2022 |
| Patient Name | Mrs. MOUTUSI PATRA | Contact No | 9123086485 |
| Address | 42,KUMIRJALA ROAD SERAMPORE | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | 145.6 cm BMI: 29.717878 |
| Diagnosis | |||