Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11565 | Date 13/09/2022 |
| Token No | SM/22-23/16683 13/09/2022 | Serial | 029 Last Visit: 13/09/2022 |
| Patient Name | Mrs. MENAKA BAG | Contact No | |
| Address | PASCHIMPARA DAKSHIN RAJYADHARPUR MALLICKPARA | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 19.902676 |
| Diagnosis | |||