Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11664 | Date 10/11/2022 |
| Token No | SM/22-23/20707 18/03/2023 | Serial | 005 Last Visit: 25/04/2023 |
| Patient Name | Mrs. PUJA ROY | Contact No | 6289801811 |
| Address | 22/A KUMIR JALA ROAD SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 147 cm BMI: 17.585265 |
| Diagnosis | |||