Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10479 | Date 30/12/2021 |
| Token No | SM/21-22/8298 30/12/2021 | Serial | 029 Last Visit: 30/12/2021 |
| Patient Name | Mrs. CHANDRIMA GOSWAMI MUKHERJEE | Contact No | 9007685474 |
| Address | 21 DR. P. N. MUKHERJEE STREET | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 154.2 cm BMI: 23.551538 |
| Diagnosis | |||