Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11500 | Date 29/08/2022 |
| Token No | SM/22-23/16127 29/08/2022 | Serial | 042 Last Visit: 29/08/2022 |
| Patient Name | Mrs. DIPALI BAG | Contact No | |
| Address | 225 BIRAT KUTHI,BAIDYABATI(M) | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 145.7 cm BMI: 30.148164 |
| Diagnosis | |||