Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11176 | Date 23/06/2022 |
| Token No | SM/22-23/14002 25/06/2022 | Serial | 006 Last Visit: 02/06/2023 |
| Patient Name | Mrs. BULU BISWAS | Contact No | 8276839193 |
| Address | GODAR BAGAN BAIDYABATI (M) CHATRA HOOG | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78 KG |
| Pulse Rate | / min | Height | 154.5 cm BMI: 32.676658 |
| Diagnosis | |||