Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11219 | Date 04/07/2022 |
| Token No | SM/22-23/14253 04/07/2022 | Serial | 024 Last Visit: 15/07/2022 |
| Patient Name | Mrs. SHYAMALI PANDIT | Contact No | 8479011877 |
| Address | 42 KUMOR PARA ROAD SERAMPORE | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 28.255759 |
| Diagnosis | |||