Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11365 | Date 29/07/2022 |
| Token No | SM/22-23/19316 29/12/2022 | Serial | 018 Last Visit: 17/04/2023 |
| Patient Name | Mrs. TINA DHARA | Contact No | 9163821270 |
| Address | 28 DOCTOR BAGAN LANE SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | 139.5 cm BMI: 24.665665 |
| Diagnosis | |||