Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12546 | Date 05/10/2023 |
| Token No | SM/22-23/24933 05/10/2023 | Serial | 004 Last Visit: 05/10/2023 |
| Patient Name | Mrs. KRISHNA SOM | Contact No | 9748283651 |
| Address | 123A BARUI PARA LANE | Age | 60 Years,3 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 99/70 mmHg | Weight | 35.9 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 16.501005 |
| Diagnosis | |||