Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11481 | Date 25/08/2022 |
| Token No | SM/22-23/16019 25/08/2022 | Serial | 041 Last Visit: 15/09/2022 |
| Patient Name | Mrs. RUPA KOLE | Contact No | 9433656933 |
| Address | BAURE PARA CHARA BAGAN SEORAPHULI (M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 153.7 cm BMI: 16.508852 |
| Diagnosis | |||