Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11140 | Date 16/06/2022 |
| Token No | SM/22-23/13613 16/06/2022 | Serial | 033 Last Visit: 16/06/2022 |
| Patient Name | Mrs. SUMON SARDAR | Contact No | 9123820452 |
| Address | CHATRA G.T ROAD SERAMPORE | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 161.6 cm BMI: 19.529335 |
| Diagnosis | |||