Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00633 | Date 23/08/2018 |
| Token No | SM/24-25/34191 27/06/2024 | Serial | 041 Last Visit: 27/06/2024 |
| Patient Name | Mrs. KAKOLI ROY | Contact No | 9088388538 |
| Address | 12G/2 ARBINDO SARNI KUMOR PARA | Age | 42 Years,2 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43.2 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 20.128365 |
| Diagnosis | |||