Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11117 | Date 11/06/2022 |
| Token No | SM/22-23/13465 11/06/2022 | Serial | 025 Last Visit: 11/06/2022 |
| Patient Name | Mrs. MOUSUM SARKAR | Contact No | 8777467194 |
| Address | SITOLATALA,BAIDYABATI(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 53 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 22.640865 |
| Diagnosis | |||