Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08666 | Date 25/08/2020 |
| Token No | SM/22-23/22180 12/06/2023 | Serial | 035 Last Visit: 12/06/2023 |
| Patient Name | Mrs. PUSHPA RAY | Contact No | 9674576689 |
| Address | 16 RAJA K. L. GOSWAMI STREET | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.8 KG |
| Pulse Rate | / min | Height | 146.2 cm BMI: 30.784432 |
| Diagnosis | |||