Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12109 | Date 23/05/2023 |
| Token No | SM/22-23/22820 12/07/2023 | Serial | 004 Last Visit: 09/09/2023 |
| Patient Name | Mrs. REHANA BEGAM | Contact No | 8777455931 |
| Address | 7 ARABINDA SARANI | Age | 33 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 78.2 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 30.546875 |
| Diagnosis | |||