Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11337 | Date 26/07/2022 |
| Token No | SM/22-23/15026 26/07/2022 | Serial | 001 Last Visit: 26/07/2022 |
| Patient Name | Mrs. SHYAMALI KANJILAL | Contact No | 9874246515 |
| Address | 158 AA.P.C.ROAD SHYAMBAZAR MAIL | Age | 57 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 23.138507 |
| Diagnosis | |||