Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11134 | Date 15/06/2022 |
| Token No | SM/22-23/13578 15/06/2022 | Serial | 024 Last Visit: 15/06/2022 |
| Patient Name | Mrs. KAKULI DUTTA | Contact No | 8583027454 |
| Address | 144 SHITALA TALA ROAD BAIDYABATI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 29.138751 |
| Diagnosis | |||