Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11275 | Date 15/07/2022 |
| Token No | SM/22-23/14664 15/07/2022 | Serial | 046 Last Visit: 15/07/2022 |
| Patient Name | Mrs. RANI DAS | Contact No | 9330688372 |
| Address | 24/A/1 DEY BAGAN LANE SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 18.662015 |
| Diagnosis | |||