Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11499 | Date 29/08/2022 |
| Token No | SM/22-23/16933 20/09/2022 | Serial | 027 Last Visit: 20/09/2022 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 8582880242 |
| Address | 4 A SIDDHEWARI LANE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 148.9 cm BMI: 22.551769 |
| Diagnosis | |||