Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11621 | Date 29/09/2022 |
| Token No | SM/22-23/17238 29/09/2022 | Serial | 027 Last Visit: 29/09/2022 |
| Patient Name | Mrs. SIKHA DUTTA | Contact No | |
| Address | 72 CHATRA,BARUI PARA LANE | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 19.560859 |
| Diagnosis | |||