Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11042 | Date 25/05/2022 |
| Token No | SM/22-23/13008 28/05/2022 | Serial | 027 Last Visit: 01/06/2022 |
| Patient Name | Mrs. SHALINI PAL | Contact No | 9330843946 |
| Address | 26 PANCHANAN TALALANE SERAMNPORE | Age | 25 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 152.9 cm BMI: 29.086666 |
| Diagnosis | |||