Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11766 | Date 13/12/2022 |
| Token No | SM/22-23/19120 22/12/2022 | Serial | 010 Last Visit: 22/12/2022 |
| Patient Name | Mrs. SUNDARI PAL | Contact No | 9002843342 |
| Address | GOBIDAPUR, DIARA | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 160.5 cm BMI: 23.679894 |
| Diagnosis | |||