Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10453 | Date 23/12/2021 |
| Token No | SM/21-22/8047 23/12/2021 | Serial | 028 Last Visit: 23/12/2021 |
| Patient Name | Mrs. RATRI LAHA GHOSH | Contact No | 9051626491 |
| Address | 12 NO AP GHOSH ROAD SERAMPORE | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 21.928863 |
| Diagnosis | |||