Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11089 | Date 03/06/2022 |
| Token No | SM/22-23/19074 21/12/2022 | Serial | 030 Last Visit: 21/12/2022 |
| Patient Name | Mrs. KALPANA ADHIKARI | Contact No | 6290129366 |
| Address | 14 CHATRA CHOWDHURY PARA SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 32.120547 |
| Diagnosis | |||