Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11252 | Date 12/07/2022 |
| Token No | SM/22-23/14497 12/07/2022 | Serial | 008 Last Visit: 12/07/2022 |
| Patient Name | Mrs. SUJATA BAG | Contact No | 9681650625 |
| Address | 190(149)SHITALA TALA ROAD BAIDYABATI(M) CHATRA | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 146.2 cm BMI: 23.392426 |
| Diagnosis | |||