Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11338 | Date 26/07/2022 |
| Token No | SM/22-23/15028 26/07/2022 | Serial | 003 Last Visit: 22/08/2022 |
| Patient Name | Mrs. TUKAI SHAW | Contact No | 7003118892 |
| Address | 284A/A KAZI PARA DHANMATH BAIDYABATI M | Age | 26 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 28.537455 |
| Diagnosis | |||