Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11288 | Date 18/07/2022 |
| Token No | SM/22-23/14722 18/07/2022 | Serial | 013 Last Visit: 18/07/2022 |
| Patient Name | Mrs. KABITA BANDURI | Contact No | |
| Address | 18/A MUKHERJEE PARA CHATRA BAIDYABATI M | Age | 48 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 14.670644 |
| Diagnosis | |||