Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12712 | Date 06/11/2023 |
| Token No | SM/22-23/28010 09/01/2024 | Serial | 047 Last Visit: 09/01/2024 |
| Patient Name | Mrs. NIBHA KUMARI SHAW | Contact No | 6291867270 |
| Address | 13 RABINDA BHABON | Age | 30 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.8 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 28.754462 |
| Diagnosis | |||