Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10780 | Date 11/03/2022 |
| Token No | SM/21-22/10686 11/03/2022 | Serial | 039 Last Visit: 11/03/2022 |
| Patient Name | Mrs. BANASREE MUKHOPADHYAY | Contact No | 7595046334 |
| Address | 22 PROF K K MUKHERJEE SARANI CHATRA | Age | 46 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 70.2 KG |
| Pulse Rate | / min | Height | 159.6 cm BMI: 27.559500 |
| Diagnosis | |||