Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11137 | Date 16/06/2022 |
| Token No | SM/22-23/24539 20/09/2023 | Serial | 017 Last Visit: 20/09/2023 |
| Patient Name | Mrs. PIYALI ADHIKARI | Contact No | 9804194353 |
| Address | 13/2, CHOWDHURY PARA LANE SERAMPORE | Age | 39 Years,8 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | 158.6 cm BMI: 23.058000 |
| Diagnosis | |||