Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11057 | Date 27/05/2022 |
| Token No | SM/22-23/12962 27/05/2022 | Serial | 025 Last Visit: 16/06/2022 |
| Patient Name | Mrs. CHAITALI PATRA | Contact No | 9681770211 |
| Address | 42 KUMIR JALA ROAD SERAMPORE | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 29.475450 |
| Diagnosis | |||