Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11102 | Date 08/06/2022 |
| Token No | SM/22-23/13317 08/06/2022 | Serial | 007 Last Visit: 08/06/2022 |
| Patient Name | Mrs. KANKANA LAHIRI | Contact No | 9874281095 |
| Address | 8 H.M. GOSWAMI STREET | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 156.4 cm BMI: 26.164141 |
| Diagnosis | |||