Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11632 | Date 17/10/2022 |
| Token No | SM/22-23/17565 31/10/2022 | Serial | 004 Last Visit: 31/10/2022 |
| Patient Name | Mrs. MANASHI NAYAK | Contact No | 8910252402 |
| Address | 15 N N ROY STREET SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 27 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 12.161614 |
| Diagnosis | |||