Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10970 | Date 30/04/2022 |
| Token No | SM/22-23/13031 30/05/2022 | Serial | 022 Last Visit: 30/05/2022 |
| Patient Name | Mrs. MOUSUMI GUPTA | Contact No | 7980308658 |
| Address | N.C.M. ROAD,CHAMPDANI(M) | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | 142.5 cm BMI: 23.638042 |
| Diagnosis | |||