Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11484 | Date 27/08/2022 |
| Token No | SM/22-23/16065 27/08/2022 | Serial | 044 Last Visit: 29/11/2022 |
| Patient Name | Mrs. CHAMPA DAS | Contact No | 7890210986 |
| Address | GODAR BAGAN BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 23.883211 |
| Diagnosis | |||