Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10691 | Date 21/02/2022 |
| Token No | SM/22-23/14465 11/07/2022 | Serial | 001 Last Visit: 11/07/2022 |
| Patient Name | Mrs. APARNA DAS | Contact No | 6289028294 |
| Address | 1 NOGOALA PARA LANE SERAMPORE3 | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 154.4 cm BMI: 27.265833 |
| Diagnosis | |||