Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09622 | Date 19/05/2021 |
| Token No | SM/22-23/11929 22/04/2022 | Serial | 020 Last Visit: 23/11/2023 |
| Patient Name | Mrs. RITA BAG | Contact No | 9230365975 |
| Address | 110,TELIPARA BAGER BAGAN SERAMPORE | Age | 59 Years,10 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 142 cm BMI: 22.317001 |
| Diagnosis | |||