Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10544 | Date 11/01/2022 |
| Token No | SM/21-22/8830 11/01/2022 | Serial | 021 Last Visit: 11/01/2022 |
| Patient Name | Mrs. SUSHMA ROUTH | Contact No | 8584934227 |
| Address | 12/E/D, TELIPARA BAGER BAGAN SERAMPORE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 18.256319 |
| Diagnosis | |||