Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11215 | Date 30/06/2022 |
| Token No | SM/22-23/14193 30/06/2022 | Serial | 028 Last Visit: 30/06/2022 |
| Patient Name | Mrs. BASANTI PAL | Contact No | 9831575378 |
| Address | 13B/1 CHATRA KUMARPARA SERAMPORE | Age | 54 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 147.4 cm BMI: 25.774667 |
| Diagnosis | |||