Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11001 | Date 12/05/2022 |
| Token No | SM/22-23/14030 25/06/2022 | Serial | 034 Last Visit: 13/08/2022 |
| Patient Name | Mrs. REBA DUTTA | Contact No | 9051394930 |
| Address | 79E N.N. ROY STREET | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 22.005966 |
| Diagnosis | |||