Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11525 | Date 05/09/2022 |
| Token No | SM/22-23/16591 10/09/2022 | Serial | 021 Last Visit: 10/09/2022 |
| Patient Name | Mrs. BIJALI PAL | Contact No | 9230816537 |
| Address | 255/47 TELIPARA LANE CHATRA BAIDYABATI | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 23.739956 |
| Diagnosis | |||