Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11192 | Date 27/06/2022 |
| Token No | SM/22-23/14038 27/06/2022 | Serial | 005 Last Visit: 09/09/2022 |
| Patient Name | Mrs. KAMALA MAJHI | Contact No | 9163423940 |
| Address | 59, BARA BAGAN LANE SERAMPORE | Age | 79 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 145.9 cm BMI: 18.790979 |
| Diagnosis | |||