Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11060 | Date 27/05/2022 |
| Token No | SM/22-23/12969 27/05/2022 | Serial | 032 Last Visit: 10/06/2022 |
| Patient Name | Mrs. REKHA ROY | Contact No | 6289693096 |
| Address | 13 DOCTOR BAGAN LANE BARO BAGAN LANE SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | 152.5 cm BMI: 23.649557 |
| Diagnosis | |||