Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10864 | Date 01/04/2022 |
| Token No | SM/22-23/11281 01/04/2022 | Serial | 022 Last Visit: 01/04/2022 |
| Patient Name | Miss MITALI PATRA | Contact No | 8777271494 |
| Address | 22/1 J.N. SEN STREET BAIDYABATI (M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | 158.5 cm BMI: 29.455960 |
| Diagnosis | |||