Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 10038 | Date 03/09/2021 |
| Token No | SM/21-22/8905 13/01/2022 | Serial | 038 Last Visit: 13/01/2022 |
| Patient Name | Miss MAYA DAS | Contact No | 9007611827 |
| Address | 244/2 RAJYADHARPUR GOV.T COLONY SERAMPORE | Age | 32 yrs Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 174 cm BMI: 18.496499 |
| Diagnosis | |||