Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11411 | Date 08/08/2022 |
| Token No | SM/22-23/15550 08/08/2022 | Serial | 035 Last Visit: 08/08/2022 |
| Patient Name | Mrs. ANJALI DAS | Contact No | 7890289361 |
| Address | 99/218 PEARAPUR CHASHIPARA BAIDYABATI(M) SHEORAPHULI | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 24.944537 |
| Diagnosis | |||