Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11278 | Date 15/07/2022 |
| Token No | SM/22-23/14671 15/07/2022 | Serial | 053 Last Visit: 15/07/2022 |
| Patient Name | Mrs. TIASHA SAHA | Contact No | 9062603706 |
| Address | 116/176 GT ROAD,SEORAFULLY | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 25.065746 |
| Diagnosis | |||