Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11905 | Date 31/01/2023 |
| Token No | SM/22-23/20155 31/01/2023 | Serial | 003 Last Visit: 31/01/2023 |
| Patient Name | Mrs. CHITALI PAL | Contact No | |
| Address | 254/43 TELIPARA BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 28.697255 |
| Diagnosis | |||