Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10956 | Date 25/04/2022 |
| Token No | SM/22-23/13030 30/05/2022 | Serial | 021 Last Visit: 07/10/2022 |
| Patient Name | Mrs. MOUMITA MAJHI | Contact No | 9163423940 |
| Address | 59 BARABAGAN LANE SERAMPORE M | Age | 27 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 24.973985 |
| Diagnosis | |||