Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11332 | Date 25/07/2022 |
| Token No | SM/22-23/15009 25/07/2022 | Serial | 044 Last Visit: 25/07/2022 |
| Patient Name | Mrs. SHIBANTI ADHYA | Contact No | 9339583355 |
| Address | 107(78/1/E/5)TELIPARA BAGER BAGAN BAIDYABATI M | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 152.2 cm BMI: 16.404171 |
| Diagnosis | |||