Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10750 | Date 04/03/2022 |
| Token No | SM/21-22/10489 04/03/2022 | Serial | 041 Last Visit: 05/03/2022 |
| Patient Name | Mrs. BANDANA SENGUPTA | Contact No | 8420762003 |
| Address | 36 NO G. C. GGOSSAMI PARA SERAMPORE HOOGHLY | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 15.841769 |
| Diagnosis | |||