Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11309 | Date 21/07/2022 |
| Token No | SM/22-23/15225 30/07/2022 | Serial | 023 Last Visit: 30/07/2022 |
| Patient Name | Mrs. ANU MONDAL | Contact No | |
| Address | 76/1 TELI PARA,BAGHER BAGAN,BAIDYABATI(M) | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 152.7 cm BMI: 24.016513 |
| Diagnosis | |||