Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10461 | Date 27/12/2021 |
| Token No | SM/21-22/8177 27/12/2021 | Serial | 069 Last Visit: 27/12/2021 |
| Patient Name | Mrs. RAKHI SANYAL | Contact No | 9330648343 |
| Address | 39 G.G. T. ROAD,BAIDYABATI(M) | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 26.935720 |
| Diagnosis | |||