Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11448 | Date 17/08/2022 |
| Token No | SM/22-23/15818 18/08/2022 | Serial | 006 Last Visit: 18/08/2022 |
| Patient Name | Mrs. GUNJAN DEVI | Contact No | 8757571987 |
| Address | 37/C CHATRA MUSALMAN PARA SERAMPORE | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36.5 KG |
| Pulse Rate | / min | Height | 136.5 cm BMI: 19.589690 |
| Diagnosis | |||