Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09925 | Date 11/08/2021 |
| Token No | SM/21-22/7781 15/12/2021 | Serial | 005 Last Visit: 22/02/2024 |
| Patient Name | Mrs. DEBI PAL | Contact No | 8335940344 |
| Address | 23/A KUMOR PARA LANE CHATRA SERAMPORE | Age | 73 Years,1 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 37 KG |
| Pulse Rate | / min | Height | 139.5 cm BMI: 19.013116 |
| Diagnosis | |||