Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10868 | Date 01/04/2022 |
| Token No | SM/22-23/11300 01/04/2022 | Serial | 041 Last Visit: 01/04/2022 |
| Patient Name | Miss TIASHA DAS | Contact No | 8910099544 |
| Address | 1/A DHARMATALA BAY LANE CHATRA SERAMPORE | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 157.4 cm BMI: 21.796377 |
| Diagnosis | |||