Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11778 | Date 17/12/2022 |
| Token No | SM/22-23/18958 17/12/2022 | Serial | 004 Last Visit: 17/12/2022 |
| Patient Name | Miss SRABANI DAS | Contact No | 7044748795 |
| Address | 3/C DR. BAGAN LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||