Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11536 | Date 07/09/2022 |
| Token No | SM/22-23/16433 07/09/2022 | Serial | 013 Last Visit: 07/09/2022 |
| Patient Name | Mrs. BAKUL BALA DAS | Contact No | 9331904447 |
| Address | 68 G T ROAD MALLICK PARA SERAMPORE | Age | 80 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | 120/80 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 141.4 cm BMI: 25.007552 |
| Diagnosis | |||