Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11477 | Date 24/08/2022 |
| Token No | SM/22-23/15969 24/08/2022 | Serial | 011 Last Visit: 24/08/2022 |
| Patient Name | Mrs. RAKHI DAS PAUL | Contact No | 7044278585 |
| Address | 56, SATCHASI PARA , BAIDYABATI (M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||