Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11313 | Date 22/07/2022 |
| Token No | SM/22-23/18704 09/12/2022 | Serial | 009 Last Visit: 04/01/2023 |
| Patient Name | Mrs. PURNIMA SARKAR(DEY) | Contact No | 8620039835 |
| Address | 28/B DR. BAGAN LANE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 155.1 cm BMI: 23.694702 |
| Diagnosis | |||