Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11330 | Date 25/07/2022 |
| Token No | SM/22-23/15004 25/07/2022 | Serial | 039 Last Visit: 29/08/2022 |
| Patient Name | Mrs. SUSMITA DAS | Contact No | 8017230756 |
| Address | 36 BHADURI LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 147.6 cm BMI: 26.622895 |
| Diagnosis | |||