Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11059 | Date 27/05/2022 |
| Token No | SM/22-23/12967 27/05/2022 | Serial | 030 Last Visit: 27/05/2022 |
| Patient Name | Mrs. MONIKARNA DATTA | Contact No | 9477034179 |
| Address | 16/T RAJA K L GOSWAMI STREET SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 30.915577 |
| Diagnosis | |||