Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11040 | Date 25/05/2022 |
| Token No | SM/22-23/12900 26/05/2022 | Serial | 006 Last Visit: 24/06/2022 |
| Patient Name | Mrs. SOMA DAS | Contact No | 9875626998 |
| Address | 69/A MUKHERJEE PARA LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 25.631167 |
| Diagnosis | |||