Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04215 | Date 15/03/2019 |
| Token No | SM/21-22/11169 29/03/2022 | Serial | 028 Last Visit: 24/12/2024 |
| Patient Name | Mrs. SHUKLA DAS | Contact No | 7449603506 |
| Address | 37/A CHATRA DHARMOTALA LANE, SERAMPORE | Age | 45 Years,11 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 150 cm BMI: 29.333333 |
| Diagnosis | |||