Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10956 | Date 25/04/2022 |
| Token No | SM/22-23/14040 27/06/2022 | Serial | 007 Last Visit: 07/10/2022 |
| Patient Name | Mrs. MOUMITA MAJHI | Contact No | 9163423940 |
| Address | 59 BARABAGAN LANE SERAMPORE M | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 25.806452 |
| Diagnosis | |||