Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11173 | Date 23/06/2022 |
| Token No | SM/22-23/13883 23/06/2022 | Serial | 002 Last Visit: 23/06/2022 |
| Patient Name | Mrs. ASAGARI BIBI | Contact No | 8336848061 |
| Address | 12, GOPINATH SAHA STREET SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 147.3 cm BMI: 23.505240 |
| Diagnosis | |||