Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02172 | Date 28/11/2018 |
| Token No | SM/22-23/18778 12/12/2022 | Serial | 012 Last Visit: 30/12/2022 |
| Patient Name | Mrs. CHANDRANI KHAN | Contact No | 9007653926 |
| Address | 156/73 BAGER BAGAN CHATRA , BAIDYABATI (M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 145.1 cm BMI: 23.748445 |
| Diagnosis | |||