Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11235 | Date 07/07/2022 |
| Token No | SM/22-23/14382 07/07/2022 | Serial | 004 Last Visit: 10/08/2022 |
| Patient Name | Mrs. KABITA TUDU | Contact No | 9733567548 |
| Address | CHATRA CHOWDHURI PARA | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53.3 KG |
| Pulse Rate | / min | Height | 153.4 cm BMI: 22.650432 |
| Diagnosis | |||