Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10582 | Date 18/01/2022 |
| Token No | SM/21-22/9085 18/01/2022 | Serial | 042 Last Visit: 18/01/2022 |
| Patient Name | Mrs. CHAMPA DAS | Contact No | 8013156326 |
| Address | 80,RISHI BANKIM SARANI SERAMPORE | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 69 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 27.639801 |
| Diagnosis | |||