Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07964 | Date 30/03/2020 |
| Token No | SM/22-23/13053 30/05/2022 | Serial | 044 Last Visit: 30/05/2022 |
| Patient Name | Mrs. ALPANA KUNDU | Contact No | 9051399758 |
| Address | 11/A, MUSALMAN PARA ROAD | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.5 KG |
| Pulse Rate | / min | Height | 147.7 cm BMI: 30.024813 |
| Diagnosis | |||