Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11552 | Date 10/09/2022 |
| Token No | SM/22-23/16917 20/09/2022 | Serial | 011 Last Visit: 20/09/2022 |
| Patient Name | Miss BINAPANI SOM | Contact No | 9163338434 |
| Address | 46 CHATRA BARUI PARA LANE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 144 cm BMI: 20.736883 |
| Diagnosis | |||