Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10964 | Date 26/04/2022 |
| Token No | SM/22-23/13534 14/06/2022 | Serial | 014 Last Visit: 14/06/2022 |
| Patient Name | Mrs. KALPANA SARKAR | Contact No | 9088548782 |
| Address | 175(205A)TELIPARA BAGER BAGAN BAIDYABATI(M) CHATRA | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 28.755351 |
| Diagnosis | |||