Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11062 | Date 27/05/2022 |
| Token No | SM/22-23/12975 27/05/2022 | Serial | 038 Last Visit: 27/05/2022 |
| Patient Name | Mrs. MOUSUMI PARAMANIK | Contact No | 8584942574 |
| Address | 130 G T ROAD CHATRA SERAMPORE | Age | 21 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 31 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 13.963335 |
| Diagnosis | |||