Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 11058 | Date 27/05/2022 |
| Token No | SM/22-23/14105 28/06/2022 | Serial | 027 Last Visit: 28/06/2022 |
| Patient Name | Mrs. KABITA ROY | Contact No | 9051887217 |
| Address | 440/67/A G. T ROAD NURSERY ROAD BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 26.709402 |
| Diagnosis | |||