Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 11286 | Date 16/07/2022 |
| Token No | SM/22-23/14705 16/07/2022 | Serial | 034 Last Visit: 16/07/2022 |
| Patient Name | Mrs. APARNA DAS | Contact No | 8335911929 |
| Address | 44 KHASBAGAN LANE SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57.5 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 26.074437 |
| Diagnosis | |||