Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12070 | Date 06/05/2023 |
| Token No | SM/22-23/21596 12/05/2023 | Serial | 005 Last Visit: 12/05/2023 |
| Patient Name | Mrs. SARSWATI CHOUDHURY | Contact No | 8100247225 |
| Address | 25/A NATUNBAGAN LANE | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 150.7 cm BMI: 26.419509 |
| Diagnosis | |||