Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12011 | Date 01/04/2023 |
| Token No | SM/22-23/20955 01/04/2023 | Serial | 021 Last Visit: 01/04/2023 |
| Patient Name | Mrs. SMRITIKANA PODDER | Contact No | 8100626239 |
| Address | 31C/3 BARABAGAN LANE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 92 KG |
| Pulse Rate | / min | Height | 157.4 cm BMI: 37.134568 |
| Diagnosis | |||