Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11645 | Date 03/11/2022 |
| Token No | SM/22-23/25716 30/10/2023 | Serial | 042 Last Visit: 30/10/2023 |
| Patient Name | Mrs. BULA DAS | Contact No | 9062127283 |
| Address | 31 HARIJAN ROAD,DAS PARA,BAIDYABATI(M) | Age | 47 Years,7 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 150.6 cm BMI: 18.959135 |
| Diagnosis | |||