Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11087 | Date 02/06/2022 |
| Token No | SM/22-23/13163 02/06/2022 | Serial | 025 Last Visit: 16/06/2022 |
| Patient Name | Mrs. KABITA PATRA | Contact No | 8697406456 |
| Address | 320/486, G.T ROAD CHATRA SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 154.7 cm BMI: 21.310299 |
| Diagnosis | |||