Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03791 | Date 22/02/2019 |
| Token No | SM/22-23/17989 16/11/2022 | Serial | 034 Last Visit: 03/07/2023 |
| Patient Name | Mrs. PURABI DAS | Contact No | 9830404192 |
| Address | 3B CHATRA GHOSH PARA 2ND LANE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 22.546576 |
| Diagnosis | |||