Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12124 | Date 02/06/2023 |
| Token No | SM/22-23/21951 02/06/2023 | Serial | 026 Last Visit: 02/06/2023 |
| Patient Name | Mrs. SURUCHI CHAUDHARY | Contact No | 9831321666 |
| Address | 9/I BORO BAGAN LANE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.9 KG |
| Pulse Rate | / min | Height | 152.3 cm BMI: 24.530842 |
| Diagnosis | |||