Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06218 | Date 26/08/2019 |
| Token No | SM/22-23/18909 15/12/2022 | Serial | 025 Last Visit: 22/12/2022 |
| Patient Name | Mrs. KAMINI MIDDEY | Contact No | 8777253744 |
| Address | 131/A TELIPARA BAGER BAGAN , BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 25.705541 |
| Diagnosis | |||