Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11213 | Date 30/06/2022 |
| Token No | SM/22-23/14184 30/06/2022 | Serial | 019 Last Visit: 30/06/2022 |
| Patient Name | Mrs. RUPALI MONDAL | Contact No | 7890399392 |
| Address | 111, CHATRA BAGAR BAGAN BAIDYABATI (M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 146.3 cm BMI: 20.557203 |
| Diagnosis | |||