Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11767 | Date 13/12/2022 |
| Token No | SM/22-23/18850 13/12/2022 | Serial | 044 Last Visit: 13/12/2022 |
| Patient Name | Mrs. RIMA ADHIKARY | Contact No | 9331666449 |
| Address | 14 CHATRA CHOWDHURY PARA SERAMPORE | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||