Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11796 | Date 21/12/2022 |
| Token No | SM/22-23/20195 02/02/2023 | Serial | 001 Last Visit: 02/02/2023 |
| Patient Name | Mrs. MAMONI JETI | Contact No | 9875628319 |
| Address | 4 RABINDRA BHABAN ROAD SERAMPORE | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 149.8 cm BMI: 26.737920 |
| Diagnosis | |||