Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11377 | Date 01/08/2022 |
| Token No | SM/22-23/15279 01/08/2022 | Serial | 024 Last Visit: 01/08/2022 |
| Patient Name | Mrs. LAKSHMI DAS | Contact No | 8376976908 |
| Address | 44 HARIJAN ROAD CHATRA BAIDYABATI(M) | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 18.894439 |
| Diagnosis | |||