Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10695 | Date 21/02/2022 |
| Token No | SM/22-23/16910 20/09/2022 | Serial | 004 Last Visit: 20/09/2022 |
| Patient Name | Mrs. JHARNA SANTRA | Contact No | 8334819698 |
| Address | HARIPUR PAHALAMPUR | Age | 49 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 157.3 cm BMI: 20.207499 |
| Diagnosis | |||