Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11898 | Date 30/01/2023 |
| Token No | SM/22-23/20106 30/01/2023 | Serial | 011 Last Visit: 30/01/2023 |
| Patient Name | Mrs. JAMUNA MONDAL | Contact No | 85704762 |
| Address | CHATRA BAGER BAGAN BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 137.5 cm BMI: 26.446281 |
| Diagnosis | |||